ANDREW BLAKE WAGNER

YORKTOWN, IN
NPI1306802087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007376A)
Enumeration Date2006-04-22
Last Update Date2007-07-08
Business Address
Mr. ANDREW BLAKE WAGNER PT
7701 WEST KILGORE STE 1A
YORKTOWN, IN 47396
Phone number: 765-759-5273
Mailing Address
Mr. ANDREW BLAKE WAGNER PT
10657 W 200 S
PARKER CITY, IN 47368
Phone number: 765-468-7297
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