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1053433128
SCOTT WAGNER
MCLEAN, VA
NPI
1053433128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: VA 2305202514)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Mr. SCOTT WAGNER MSPT
6849 OLD DOMINION DR
MCLEAN, VA 22101-3724
Phone number: 703-848-9333
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Mailing Address
Mr. SCOTT WAGNER MSPT
516 GREENWICH ST
FALLS CHURCH, VA 22046-2501
Phone number: 703-587-8670
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