Mary Wagoner

NPI #1215427620 in Arnold, Missouri

Provider Information

NPI Number
1215427620
Entity Type
Individual
Name
Mary Wagoner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Enumeration Date
May 11, 2018
Last Updated
May 11, 2018

Practice Location

Address
849 JEFFCO BLVD
City
Arnold
ZIP Code
63010-1409
Phone
(636) 282-5184

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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