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1750713020
DIANA TERESA WAGNER
POTTSTOWN, PA
NPI
1750713020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT008968L)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
Mrs. DIANA TERESA WAGNER MPT
30 OLD SCHUYLKILL RD
POTTSTOWN, PA 19465-7971
Phone number: 610-705-3737
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Mailing Address
Mrs. DIANA TERESA WAGNER MPT
30 OLD SCHUYLKILL RD
POTTSTOWN, PA 19465-7971
Phone number: 610-705-3737
Copy
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