Courtney Wagner

NPI #1902536493 in Fostoria, Ohio

Provider Information

NPI Number: 1902536493
Entity Type: Individual
Name: Courtney Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 16, 2022
Last Updated: Jun 16, 2022

Practice Location

Address: 10000 W TOWNSHIP ROAD 84
City: Fostoria
State: Ohio
ZIP Code: 44830-9591
Phone: (419) 575-6315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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