MRS. Amy Marie Wagner, LPTA

NPI #1356667679 in Willoughby, Ohio

Provider Information

NPI Number
1356667679
Entity Type
Individual
Name
MRS. Amy Marie Wagner, LPTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
LPTA
Enumeration Date
Apr 12, 2010
Last Updated
Apr 12, 2010

Practice Location

Address
35300 KAISER CT
State
Ohio
ZIP Code
44094-6633
Phone
(440) 510-8047

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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