NPI 1174899884

William Albert Wagner, PTA

Practitioner Physical Therapy Assistant Parma Heights, OH

Practice location

Address: 6455 Pearl Rd, Parma Heights, OH 44130-2984
Phone: (440) 887-5705

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4905 (OH)

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Registry record

NPI: 1174899884
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2012
Record last updated: 27 Mar 2012

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.