MRS. Marti Jo Waggoner, PT

NPI #1215252192 in Olney, Illinois

Provider Information

NPI Number: 1215252192
Entity Type: Individual
Name: MRS. Marti Jo Waggoner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 2, 2010
Last Updated: Apr 2, 2010

Practice Location

Address: 800 E LOCUST ST
City: Olney
State: Illinois
ZIP Code: 62450-2553
Phone: (618) 395-6031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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