JAMIE LYNN WAGNER

FORT WAYNE, IN
NPI1598204000
Former NameJAMIE LYNN PHILLIPS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06005248a)
Enumeration Date2017-02-16
Last Update Date2019-10-01
Business Address
JAMIE LYNN WAGNER PTA
10445 DUPONT OAKS BLVD
FORT WAYNE, IN 46845-8792
Phone number: 260-471-4770
Mailing Address
JAMIE LYNN WAGNER PTA
5610 WOODHEATH AVE
FORT WAYNE, IN 46809-2048
Phone number: 419-779-1936
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