MR. William Wallace Waggoner, PT

NPI #1255368049 in West Lafayette, Indiana

Provider Information

NPI Number
1255368049
Entity Type
Individual
Name
MR. William Wallace Waggoner, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 27, 2006
Last Updated
Feb 5, 2025

Practice Location

Address
500 SAGAMORE PKWY W STE 2W
State
Indiana
ZIP Code
47906-1459
Phone
(765) 250-9660

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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