THERESA ANN WAGONER

COLUMBUS, NC
NPI1033268511
Former NameTHERESA ANN LYNCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  4661)
Additional Taxonomies225100000X Physical Therapist
(Licence: SC  8112)
Enumeration Date2007-01-10
Last Update Date2016-04-29
Business Address
-- THERESA ANN WAGONER PT
60 SHUFORD RD
COLUMBUS, NC 28722-7406
Phone number: 828-894-0277
Mailing Address
-- THERESA ANN WAGONER PT
60 SHUFORD RD
COLUMBUS, NC 28722-7406
Phone number: 828-894-0277