Individual provider · Type 1 NPI

Sandra Laureen Wagner, PHYSICAL THERAPIST

Pediatric Physical Therapist · Rancho Santa Margarita, CA

NPI number 1467974659 Active

Practice location

30252 Tomas Ste 100
Rancho Santa Margarita, CA 92688-2181

Call (949) 459-1658 Map

Fax (949) 459-1667

Mailing address

15004 204th Ave SE
Renton, WA 98059-8916

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1467974659

Sandra Laureen Wagner, PHYSICAL THERAPIST's National Provider Identifier is 1467974659, issued on Jul 10, 2017. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Rancho Santa Margarita, CA. The record was last updated on Jul 10, 2017.