Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Dawn Wagner

Individual provider Physical Therapy Assistant · NPI 1295519601

Leslie Dawn Wagner is a Physical Therapy Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023
Specialties on file
3

Practice location Address checks out

10001 S Western Ave Ste 102
Oklahoma City, OK 73139-2997
Phone: (405) 691-5434
Fax: (405) 692-3703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TA841 (OK)
Physical Therapy Assistant Taxonomy 225200000X · Licence TA841
Physical Therapy Assistant Taxonomy 225200000X · Licence 841 (OK)

Record details

NPI number1295519601
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

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