Gina Wagner, PT

NPI 1447434980 · on the registry since 2007

Practice

Address: 4135 S Broadway Ave
Tyler, TX 75701
Phone: (713) 297-7000
Fax: (713) 297-7090
Organisation at this address: Performancepro Sports Medicine And Rehabilitation
Performancepro Sports Medicine And Rehabilitation Limited Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-12-19

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 Texas