HOLLY M WAGNER

ORANGE, CA
NPI1285767350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  25502)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- HOLLY M WAGNER MPT
1178 N TUSTIN ST
ORANGE, CA 92867-6006
Phone number: 714-289-7790
Mailing Address
-- HOLLY M WAGNER MPT
1178 N TUSTIN ST
ORANGE, CA 92867-6006
Phone number: 714-289-7790