Wagner Pt & Performance LLC
NPI #1730678038 in Lakeville, Massachusetts
Provider Information
- NPI Number
- 1730678038
- Entity Type
- Organization
- Organization Name
- Wagner Pt & Performance LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- May 2, 2018
- Last Updated
- Jul 12, 2018
Practice Location
- Address
- 290 BEDFORD ST
- City
- Lakeville
- State
- Massachusetts
- ZIP Code
- 02347
- Phone
- (508) 938-9787
Authorized Official
- Name
- ZACHARY R WAGNER, PT, DPT
- Title
- OWNER
- Phone
- (626) 221-2628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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