KELLY DANIELLE WAGNER

BRUNSWICK, GA
NPI1881925592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  pta001543)
Enumeration Date2010-01-20
Last Update Date2015-12-18
Business Address
Mrs. KELLY DANIELLE WAGNER PTA
226 FISH HALL RD
BRUNSWICK, GA 31523-7405
Phone number: 678-687-7390
Mailing Address
Mrs. KELLY DANIELLE WAGNER PTA
226 FISH HALL RD
BRUNSWICK, GA 31523-7405
Phone number: 678-687-7390
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