TORIE WAGNER

ROCKVILLE, MD
NPI1760066393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD  A00917)
Enumeration Date2021-05-10
Last Update Date2021-05-10
Business Address
TORIE WAGNER ATC, LAT
9909 MEDICAL CENTER DR
ROCKVILLE, MD 20850-6361
Phone number: 240-864-6000
Mailing Address
TORIE WAGNER ATC, LAT
3462 ANDREW CT APT 203
LAUREL, MD 20724-2365
Phone number: 707-813-1315