NPI 1033605084

Marjorie E Wagoner, PT

Practitioner Physical Therapist Capitola, CA

Practice location

Address: 1350 41st Ave STE 100, Capitola, CA 95010-3934
Phone: (831) 706-2085
Fax: (831) 417-3799

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT294960 (CA)

Other Physical Therapist providers in California →

Registry record

NPI: 1033605084
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2018
Record last updated: 15 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.