Elizabeth Hansen Wagner, PT, DPT
Elizabeth Hansen Wagner, PT, DPT is a Physical Therapist in Private Practice in Shreveport, Louisiana. Qualified in 2012, 14 years ago. Practices with Studio P3 LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 14
- Licensed in
- LA
- In the registry since
- 2014
What do these letters mean?
Practice location Address checks out
266 Ockley DrShreveport, LA 71105-3025
Phone: (318) 868-3268
Fax: (318) 861-2714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2539 E.70th St., Shreveport, LA 71105 — (318) 364-7741
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 08371 (LA) |
|---|
Record details
| NPI number | 1295150977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT , DPT |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2014 |
| Last updated in NPPES | March 17, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Studio P3 Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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