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1043335797
ANITA F WAGNER
KENNETT SQUARE, PA
NPI
1043335797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT005747L)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Mrs. ANITA F WAGNER LPT
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 215-620-9449
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Mailing Address
Mrs. ANITA F WAGNER LPT
912 GLADWYN RD
WARMINSTER, PA 18974-4080
Phone number: 215-441-1334
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