MICHELLE RENAE WAGONER

PEORIA, AZ
NPI1003141433
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  8684)
Enumeration Date2009-10-02
Last Update Date2009-10-02
Business Address
-- MICHELLE RENAE WAGONER PT, DPT
9713 W TONOPAH DR
PEORIA, AZ 85382-5110
Phone number: 480-381-0220
Mailing Address
-- MICHELLE RENAE WAGONER PT, DPT
9713 W TONOPAH DR
PEORIA, AZ 85382-5110
Phone number: 480-381-0220
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