Zachary Wagner D.P.T.

NPI 1073909057 - Physical Therapist - 225100000X

NPI Details
NPI 1073909057
Gender Male
Enumeration Date 04/07/2015
Last Updated 04/07/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
65 LONG POND RD
PLYMOUTH MA, 02360-2670, US
Phone (774) 773-9070
Fax (508) 591-7619
Business Location
65 LONG POND RD
PLYMOUTH MA, 02360-2670, US
Phone (774) 773-9070
Fax (508) 591-7619
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 21611
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According to our database, Zachary Wagner D.P.T. NPI is 1073909057, taxonomy code is 225100000X and license number is 21611, license state is located at Massachusetts. Zachary Wagner D.P.T. physically located at 65 Long Pond Rd, Plymouth MA, 02360-2670. NPI Number Zachary Wagner D.P.T. has the Individual type.

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1073909057 NPI number is provided on an as is basis without warranty of any kind. 1073909057 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Wagner D.P.T. are for informational purposes only.