GENEVIEVE AMANDA WAGNER

SPRINGFIELD, IL
NPI1083050728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070017303)
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
Mrs. GENEVIEVE AMANDA WAGNER DPT
800 E CARPENTER ST
SPRINGFIELD, IL 62769-1000
Phone number: 217-544-6464
Mailing Address
Mrs. GENEVIEVE AMANDA WAGNER DPT
800 E CARPENTER ST
SPRINGFIELD, IL 62769-1000
Phone number: 217-544-6464
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