Wagner, Stacy Smith

Wagner, Stacy Smith is an individual health care provider with primary practice located at 1481 Chapel St , New Haven CT 06511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wagner, Stacy Smith can be contacted via phone (203) 776-9110.

Contact Information

Primary practice address
1481 Chapel St New Haven CT 06511
Phone: (203) 776-9110
Fax: (203) 777-5879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9052 Connecticut

Profile Details

NPI number 1801188750
LBN Legal business name Wagner, Stacy Smith
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Dec 18th, 2023 - about 3 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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