Andrew Howard Wagner

NPI #1780198416 in Elma, New York

Provider Information

NPI Number: 1780198416
Entity Type: Individual
Name: Andrew Howard Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 16, 2017
Last Updated: Jul 9, 2020

Practice Location

Address: 120 BRIGGSWOOD DR
City: Elma
State: New York
ZIP Code: 14059-9477
Phone: (716) 432-5113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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