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Emily Wagner, DT-C

NPI 1194206243 · on the registry since 2018 · sole proprietor

Practice

Address
11720 Plaza America Dr Fl 9
Reston, VA 20190
Phone
(866) 968-7512
Clinicians at this address
3

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Also registered as
2355S0801X
Licence states on file
IN, NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia