Kelly Danielle Wagner, PTA
Physical Therapy Assistant in Brunswick, GA. Individual provider (NPI-1).
NPI number1881925592
StatusActive
Last updated in NPPESDec 18, 2015
Details
- NPI
- 1881925592
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly Danielle Wagner
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2010
- Last updated
- Dec 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | pta001543 | GA | Yes |
Practice location
226 Fish Hall RdBrunswick, GA 31523-7405
Phone 678-687-7390
Mailing address
226 Fish Hall RdBrunswick, GA 31523-7405
Phone 678-687-7390
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Other Physical Therapy Assistant providers in Brunswick, GA
- Christina BatesNPI 1669838934
- Marcia Beauchamp, PTANPI 1922595917
- Laureen Katherine Krakowski, PTANPI 1598995474
- Kelli Toth, PTANPI 1659607893
All 5 Physical Therapy Assistant providers in Brunswick · All 1,466 providers in Brunswick
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