Farley Wagner, PT
NPI #1699312363 in Farmington, New York
Provider Information
- NPI Number
- 1699312363
- Entity Type
- Individual
- Name
- Farley Wagner, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Dec 2, 2019
- Last Updated
- Dec 2, 2019
Practice Location
- Address
- 1160 CORPORATE DR
- City
- Farmington
- State
- New York
- ZIP Code
- 14425-9534
- Phone
- (585) 924-4459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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