TIMOTHY J WAGNER

MILWAUKEE, WI
NPI1588773444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  70015254)
Enumeration Date2006-08-30
Last Update Date2009-04-28
Business Address
-- TIMOTHY J WAGNER PT
4861 S 27TH ST
MILWAUKEE, WI 53221-2603
Phone number: 414-325-3325
Mailing Address
-- TIMOTHY J WAGNER PT
1522 BRISTOL AVE
WESTCHESTER, IL 60154-3706
Phone number:
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