Pamela Wagner, L.M.T.

NPI #1740433309 in Tonawanda, New York

Provider Information

NPI Number: 1740433309
Entity Type: Individual
Name: Pamela Wagner, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: L.M.T.
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 2577 SHERIDAN DR
City: Tonawanda
State: New York
ZIP Code: 14150-9411
Phone: (716) 432-3217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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