MR. PHILIP WAGENER ⚕️ Maryland 1194153577

NPI	1194153577
Other Name	PHILIP HENRY WAGENER
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	225200000X Physical Therapy Assistant (Licence: MD A2516)
Enumeration Date	2013-10-23
Last Update Date	2013-10-23

MR. PHILIP WAGENER

4730 ATRIUM CT

OWINGS MILLS, MD 21117-3556

Phone number: 410-363-4790

MR. PHILIP WAGENER

870 DRIVER RD

MARRIOTTSVILLE, MD 21104-1325

Phone number: 443-262-2576