DEREK WAGNER

NEW CASTLE, DE
NPI1487828570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01275800)
Enumeration Date2008-04-18
Last Update Date2012-04-26
Business Address
-- DEREK WAGNER DPT
2032 NEW CASTLE AVE
NEW CASTLE, DE 19720-7703
Phone number: 302-654-1700
Mailing Address
-- DEREK WAGNER DPT
1812 MARSH RD STORE 505
WILMINGTON, DE 19810-4581
Phone number: 302-793-0432
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