JUDITH WAGNER

SAINT CLAIR SHORES, MI
NPI1659458016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501002691)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- JUDITH WAGNER
23161 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080-1956
Phone number: 586-779-8892
Mailing Address
-- JUDITH WAGNER
23161 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080-1956
Phone number: 586-779-8892
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