MRS. Kimberly Thomas Wagner, PT

NPI #1518003995 in Port St Joe, Florida

Provider Information

NPI Number: 1518003995
Entity Type: Individual
Name: MRS. Kimberly Thomas Wagner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 30, 2007
Last Updated: Jan 25, 2012

Practice Location

Address: 3801 E HIGHWAY 98
City: Port St Joe
State: Florida
ZIP Code: 32456-5318
Phone: (850) 229-5752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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