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Preston Wagner
NPI 1861040370 · on the registry since 2019
Practice
- Address
- 7617 W Jefferson Blvd Ste D
Fort Wayne, IN 46804 - Phone
- (260) 436-8454
- Fax
- (260) 489-9121
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-28
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 Indiana