JESSICA NICOLE WAGGONER

LOUISVILLE, KY
NPI1659845428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  A-1769514)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
JESSICA NICOLE WAGGONER PTA
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Mailing Address
JESSICA NICOLE WAGGONER PTA
738 WHITTLESEY ST
FREMONT, OH 43420-3347
Phone number: 419-603-0227
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