CHARLES TOM WAGNER

TWIN FALLS, ID
NPI1891858809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  RPT-208)
Enumeration Date2006-12-19
Last Update Date2013-04-05
Business Address
-- CHARLES TOM WAGNER PT
754 N COLLEGE RD STE D
TWIN FALLS, ID 83301-5822
Phone number: 208-734-5313
Mailing Address
-- CHARLES TOM WAGNER PT
754 N COLLEGE RD STE D
TWIN FALLS, ID 83301-5822
Phone number: 208-734-5313
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