NPI 1871968560

Sara Wagnon

Practitioner Physical Therapy Assistant Lafayette, CO

Practice location

Address: 215 W Cornwall CT, Lafayette, CO 80026-1161
Phone: (970) 903-8876

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0013728 (CO)

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Registry record

NPI: 1871968560
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2015
Record last updated: 7 Dec 2015

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.