CAROLYN WAGNER

OSHKOSH, WI
NPI1306002506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1176-19)
Enumeration Date2008-08-06
Last Update Date2008-08-06
Business Address
Mrs. CAROLYN WAGNER PTA
1130 N WESTFIELD ST
OSHKOSH, WI 54902-3217
Phone number: 920-237-2163
Mailing Address
Mrs. CAROLYN WAGNER PTA
1130 N WESTFIELD ST
OSHKOSH, WI 54902-3217
Phone number: 920-237-2163
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