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NPI Profile for SUSAN M WAGNER in HASTINGS, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1144337635 |
|
| Status | Active | |
| Credentials | PT, CHT | |
| Entity | Individual | |
| Enumeration date | 08/23/2006 | |
| Last updated | 04/03/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN M WAGNER
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SUSAN M WAGNER, PT, CHT