Preston Thomas Wagner
Preston Thomas Wagner is a Physical Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2019.
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
7617 W Jefferson Blvd Ste DFort Wayne, IN 46804-4164
Phone: (260) 436-8454
Fax: (260) 489-9121
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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 05013517A (IN) |
|---|
Record details
| NPI number | 1861040370 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 28, 2019 |
| Last updated in NPPES | August 28, 2019 |
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