Charles Ay Wagner

NPI 1134326549 - Physical Therapist - 225100000X

NPI Details
NPI 1134326549
Gender Male
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
944 W KAWAILANI ST
HILO HI, 96720-3218, US
Phone (808) 959-9151
Fax
Business Location
485 AINAKO AVE
HILO HI, 96720-1607, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Hawaii
License Number PT 2674
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According to our database, Charles Ay Wagner NPI is 1134326549, taxonomy code is 225100000X and license number is PT 2674, license state is located at Hawaii. Charles Ay Wagner physically located at 944 W Kawailani St, Hilo HI, 96720-3218. NPI Number Charles Ay Wagner has the Individual type.

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1134326549 NPI number is provided on an as is basis without warranty of any kind. 1134326549 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Ay Wagner are for informational purposes only.