MRS. JENNIFER WAGONER, P.T.
Physical Therapist
Active
Individual
NPI: 1861785206
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 070015942 (IL) |
Frequently Asked Questions
NPI 1861785206 is the National Provider Identifier for MRS. JENNIFER WAGONER, P.T., a Physical Therapist provider located in Macomb, IL. This NPI was enumerated on May 18, 2011.
MRS. JENNIFER WAGONER, P.T. practices at 505 E GRANT ST, Macomb, IL 61455.
Quick Facts
- NPI
- 1861785206
- Type
- Individual
- Enumerated
- May 18, 2011
- Last Updated
- Feb 10, 2022
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