Body Renovation Physical Therapy Sc
NPI #1871664243 in Grafton, Wisconsin
Provider Information
- NPI Number
- 1871664243
- Entity Type
- Organization
- Organization Name
- Body Renovation Physical Therapy Sc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Jan 30, 2008
Practice Location
Authorized Official
- Name
- MR. RICHARD D WAGNER JR., PT CSCS VCS
- Title
- PARTNER
- Phone
- (262) 375-1075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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