Wagner, Sara
Wagner, Sara is an sole proprietor health care provider with primary practice located at 305 S Clark St , Mayville WI 53050-1488. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wagner, Sara can be contacted via phone (920) 387-1372.Contact Information
Primary practice address
305 S Clark St
Mayville WI 53050-1488
Phone: (920) 387-1372
Fax: (920) 387-1370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2439-19 | Wisconsin |
Profile Details
| NPI number | 1144765652 |
|---|---|
| LBN Legal business name | Wagner, Sara |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2016 |
| Last updated | Dec 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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