Matthew Austin Wagner

NPI #1659057412 in Bellmore, New York

Provider Information

NPI Number
1659057412
Entity Type
Individual
Name
Matthew Austin Wagner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Enumeration Date
Jun 26, 2023
Last Updated
Jun 26, 2023

Practice Location

Address
616 BEDFORD AVE
ZIP Code
11710-3619
Phone
(516) 686-5533

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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