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1356953467
ELLEN WAGNER
FORT WORTH, TX
NPI
1356953467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
ELLEN WAGNER
10640 N RIVERSIDE DR STE 200
FORT WORTH, TX 76244-9506
Phone number: 817-431-9000
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Mailing Address
ELLEN WAGNER
10640 N RIVERSIDE DR STE 200
FORT WORTH, TX 76244-9506
Phone number:
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