Dr THERESA ANN WAGONER is a female medical professional, specializing in Physical Therapy. She graduated in 1991.
GREENVILLE PROAXIS THERAPY LLC
2400 BOILING SPRINGS RD
SUITE G
BOILING SPRINGS
SC
293165304
Tel: 8645990799
| Npi | 1033268511 |
| Pac Id | 7911090782 |
| Professional Enrollment Id | I20160531000321 |
| Last Name | WAGONER |
| First Name | THERESA |
| Middle Name | ANN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1991 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | GREENVILLE PROAXIS THERAPY LLC |
| Group Practice Pac Id | 0244267771 |
| Number Of Group Practice Members | 209 |
| Line 1 Street Address | 2400 BOILING SPRINGS RD |
| Line 2 Street Address | SUITE G |
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| City | BOILING SPRINGS |
| State | SC |
| Zip Code | 293165304 |
| Phone Number | 8645990799 |
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| Professional Accepts Medicare Assignment | Y |
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