Derek Wagner, DPT

NPI #1487828570 in New Castle, Delaware

Provider Information

NPI Number: 1487828570
Entity Type: Individual
Name: Derek Wagner, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 18, 2008
Last Updated: Apr 26, 2012

Practice Location

Address: 2032 NEW CASTLE AVE
City: New Castle
State: Delaware
ZIP Code: 19720-7703
Phone: (302) 654-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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