MR. Richard D Wagner JR., PT CSCS VCS
NPI #1225103476 in Grafton, Wisconsin
Provider Information
- NPI Number
- 1225103476
- Entity Type
- Individual
- Name
- MR. Richard D Wagner JR., PT CSCS VCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT CSCS VCS
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Jan 30, 2008
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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