Individual provider · Type 1 NPI

Judy Wagner

Physical Therapy Assistant · Port Orange, FL

NPI number 1871014480 Active

Practice location

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321

Call (888) 265-2680 Map

Mailing address

731 Hirst St
Cheyenne, WY 82009-2505

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0244 (WY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1871014480

Judy Wagner's National Provider Identifier is 1871014480, issued on Jul 5, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 5, 2017.