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

Marjorie E Wagoner, PT

Individual provider Physical Therapist · NPI 1033605084

Marjorie E Wagoner, PT is a Physical Therapist in Capitola, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1350 41st Ave Ste 100
Capitola, CA 95010-3934
Phone: (831) 706-2085
Fax: (831) 417-3799
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT294960 (CA)

Record details

NPI number1033605084
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020
Mailing address1350 41st Ave, Ste 100, Capitola, CA 95010-3934

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