Jordan Wagner
Jordan Wagner is a Pediatric Physical Therapist in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2025
Practice location Address checks out
1400 Fordham DrVirginia Beach, VA 23464-5368
Phone: (757) 361-3951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Physical Therapist (primary) | Taxonomy 2251P0200X · Licence 2305217318 (VA) |
|---|
Record details
| NPI number | 1548145402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2025 |
| Last updated in NPPES | August 13, 2025 |
| Certification date | August 13, 2025 |
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