KERRY GRIMES WAGNER

SAN CLEMENTE, CA
NPI1194049056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 24160)
Enumeration Date2010-03-22
Last Update Date2011-12-22
Business Address
-- KERRY GRIMES WAGNER MPT
1120 VIA CALLEJON STE B
SAN CLEMENTE, CA 92673-6264
Phone number: 949-481-1095
Mailing Address
-- KERRY GRIMES WAGNER MPT
1120 VIA CALLEJON STE B
SAN CLEMENTE, CA 92673-6264
Phone number: 949-481-1095
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