LISA WAGNER

EAST HARTFORD, CT
NPI1093825507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- LISA WAGNER
477 CONNECTICUT BLVD STE 200
EAST HARTFORD, CT 06108-3268
Phone number: 860-289-6021
Mailing Address
-- LISA WAGNER
76 GRANDE RD
EAST HARTFORD, CT 06118-2044
Phone number: 860-568-3244
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