DEBRA WAGNER

PROSSER, WA
NPI1376222638
Former NameDEBRA HULSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P161438557)
Enumeration Date2023-07-14
Last Update Date2023-07-14
Business Address
DEBRA WAGNER PTA
92102 W GOOD RD
PROSSER, WA 99350-5653
Phone number: 509-781-2196
Mailing Address
DEBRA WAGNER PTA
92102 W GOOD RD
PROSSER, WA 99350-5653
Phone number: 509-781-2196