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1356667679
AMY MARIE WAGNER
WILLOUGHBY, OH
NPI
1356667679
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Professional Name
AMY MARIE WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 06888)
Enumeration Date
2010-04-12
Last Update Date
2010-04-12
Business Address
Mrs. AMY MARIE WAGNER LPTA
35300 KAISER CT
WILLOUGHBY, OH 44094-6633
Phone number: 440-510-8047
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Mailing Address
Mrs. AMY MARIE WAGNER LPTA
5065 WAKE ROBIN RD # 0
MENTOR, OH 44060-1334
Phone number: 440-221-5270
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