BLAIR WAGONER
Physical Therapist - Pediatrics
Active
Individual
NPI: 1891939344
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | No | PT 3141 (AR) |
| Physical Therapist - Pediatrics | 2251P0200X | Yes | PT005412 (KY) |
Frequently Asked Questions
NPI 1891939344 is the National Provider Identifier for BLAIR WAGONER, a Physical Therapist - Pediatrics provider located in Lexington, KY. This NPI was enumerated on April 28, 2009.
BLAIR WAGONER practices at 1001 MONARCH ST, SUITE 110, Lexington, KY 40513.
Quick Facts
- NPI
- 1891939344
- Type
- Individual
- Enumerated
- Apr 28, 2009
- Last Updated
- Apr 9, 2010
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