SearchIllinois225100000X

Jennifer Wagner, P.T

NPI 1790956258 · on the registry since 2008 · sole proprietor

Practice

Address
2904 Hickory Ct
Woodridge, IL 60517
Phone
(630) 985-4922

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-12

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