JOHN WAGNER

LAGUNA BEACH, CA
NPI1326323221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  38080)
Enumeration Date2011-10-12
Last Update Date2011-10-12
Business Address
JOHN WAGNER D.P.T.
3079 NESTALL RD
LAGUNA BEACH, CA 92651-2026
Phone number: 949-295-7133
Mailing Address
JOHN WAGNER D.P.T.
3079 NESTALL RD
LAGUNA BEACH, CA 92651-2026
Phone number:
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