WILLIAM WALLACE WAGGONER

WEST LAFAYETTE, IN
NPI1255368049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05006050A)
Enumeration Date2006-06-27
Last Update Date2018-01-22
Business Address
Mr. WILLIAM WALLACE WAGGONER PT
500 SAGAMORE PKWY W STE 2W
WEST LAFAYETTE, IN 47906-1459
Phone number: 765-250-9660
Mailing Address
Mr. WILLIAM WALLACE WAGGONER PT
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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