Angela Marie Wagner, MSPT

NPI #1912152612 in Nantucket, Massachusetts

Provider Information

NPI Number: 1912152612
Entity Type: Individual
Name: Angela Marie Wagner, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Nov 21, 2008
Last Updated: Apr 17, 2012

Practice Location

Address: 125 ORANGE ST
City: Nantucket
State: Massachusetts
ZIP Code: 02554-4028
Phone: (508) 680-1276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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