Search › Illinois › 235Z00000X
Brooke Wagner, ST
NPI 1386885101 · on the registry since 2009
Practice
- Address
- 1909 N Morton Ave
Morton, IL 61550 - Phone
- (309) 266-5488
- Fax
- (309) 266-9144
- Organisation at this address
- Professional Therapy Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-02-19
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 Illinois