Jennifer A Wagenbach

NPI #1851633259 in Lompoc, California

Provider Information

NPI Number: 1851633259
Entity Type: Individual
Name: Jennifer A Wagenbach
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 23, 2013
Last Updated: Mar 23, 2013

Practice Location

Address: 177 VULCAN DR
City: Lompoc
State: California
ZIP Code: 93436-1406
Phone: (805) 733-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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