| NPI | 1982866711 |
|---|---|
| Doing Business As | WAGNER INTEGRATIVE THERAPES |
| Doing Business As | WAGNER INTEGRATIVE THERAPIES |
| Entity Type | Organization |
| Authorized Contact | JOHN ADAM WAGNER Chiropractor 215-230-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: PA DC006590L) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-09-02 |