JESSICA WAGNER

WOODSTOCK, IL
NPI1518298058
Former NameJESSICA MILOSCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070011316)
Enumeration Date2010-01-22
Last Update Date2012-07-06
Business Address
Mrs. JESSICA WAGNER PT
2000 LAKE AVE
WOODSTOCK, IL 60098-7401
Phone number: 815-206-3388
Mailing Address
Mrs. JESSICA WAGNER PT
2000 LAKE AVE
WOODSTOCK, IL 60098-7401
Phone number: 815-206-3388