JEFFREY TODD WAGNER PT

Dr JEFFREY TODD WAGNER PT is a male medical professional, specializing in Physical Therapy. He graduated in 2001.

Contact

1 GATEWAY DR
WADING RIVER
NY
117929734

Tel: 6319299200

JEFFREY TODD WAGNER PT Information

Npi 1437244050
Pac Id 4183687346
Professional Enrollment Id I20041109000135
Last Name WAGNER
First Name JEFFREY
Middle Name TODD
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1 GATEWAY DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WADING RIVER
State NY
Zip Code 117929734
Phone Number 6319299200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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