JOHN WAGNER

ORLAND PARK, IL
NPI1427383975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: IA  004345)
Enumeration Date2009-10-15
Last Update Date2009-10-15
Business Address
-- JOHN WAGNER DPT
9964 W 144TH ST
ORLAND PARK, IL 60462-2458
Phone number: 708-460-8027
Mailing Address
-- JOHN WAGNER DPT
3098 23RD AVE
MARION, IA 52302-1607
Phone number: 319-899-8387
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