Judith Wagner
Judith Wagner is a Physical Therapist in Private Practice in Saint Clair Shores, Michigan. Qualified in 1983, 43 years ago. Practices with Leelanau Physical Therapy PC, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 43
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
23161 Greater Mack AveSaint Clair Shores, MI 48080-1956
Phone: (586) 779-8892
Fax: (586) 779-2869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 5501002691 (MI) |
|---|
Record details
| NPI number | 1659458016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 23161 Greater Mack Ave, Saint Clair Shores, MI 48080-1956 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1983 (43 years in practice) |
| Group practice | Leelanau Physical Therapy Pc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Saint Clair Shores
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Madhavi Prakash Vachhani, PT
29150 Harper Ave, Saint Clair Shores, MI 48081-1218 · (586) 779-0911
-
Renee Vatne, PT
23715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-1181 · (586) 447-4070
-
Julie Vedua, PT
24345 Harper Ave, Saint Clair Shores, MI 48080-1285 · (586) 563-3300
-
Sachin Venkatachalam, PT
23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1186 · (586) 773-1300
-
Mrs. Amanda Lynne Weidner, PT
23715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-1181 · (586) 447-4064
-
Kamelia Leandra Wise, PT
24345 Harper Ave, Saint Clair Shores, MI 48080-1285 · (586) 563-3300