LOGAN MITCHELL WAGLER

FORT WAYNE, IN
NPI1821663634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05014354A)
Enumeration Date2021-05-24
Last Update Date2025-12-10
Business Address
LOGAN MITCHELL WAGLER
10146 MAYSVILLE RD
FORT WAYNE, IN 46835-9589
Phone number: 260-702-3477
Mailing Address
LOGAN MITCHELL WAGLER
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: