KEVIN WAGNER

LOS ANGELES, CA
NPI1306006978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  33753)
Enumeration Date2008-06-16
Last Update Date2008-06-23
Business Address
-- KEVIN WAGNER MSPT
3283 MOTOR AVE
LOS ANGELES, CA 90034-3709
Phone number: 310-845-9690
Mailing Address
-- KEVIN WAGNER MSPT
4872 MCCONNELL AVE
LOS ANGELES, CA 90066-6712
Phone number:
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