James Wagner
James Wagner is a Physical Therapy Assistant in Niles, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
316 Madison StNiles, MI 49120-3128
Phone: (269) 921-0572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 5502004181 (MI) |
|---|
Record details
| NPI number | 1568965234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2018 |
| Last updated in NPPES | March 8, 2018 |
| Mailing address | 316 Madison St, Niles, MI 49120-3128 |
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Trisha M Ballard
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