MRS. Teresa Michelle Wagner, PT

NPI #1255487286 in Panama City, Florida

Provider Information

NPI Number
1255487286
Entity Type
Individual
Name
MRS. Teresa Michelle Wagner, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jan 25, 2007
Last Updated
Sep 19, 2007

Practice Location

Address
807 N TYNDALL PKWY
State
Florida
ZIP Code
32404-9495
Phone
(850) 763-0505

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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