JACK WAGNER

Physical Therapist

NPI: 1962398131IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

05016107A(IN)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2025

Contact & Hours

Address: 8628 PURDUE RD
INDIANAPOLIS, IN 46268
Phone: (317) 677-0660

Location

Practice Location

8628 PURDUE RD, INDIANAPOLIS, IN

Quick Facts

NPI: 1962398131
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 1

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