Wagner, Teresa Michelle
Wagner, Teresa Michelle is an sole proprietor health care provider with primary practice located at 807 N Tyndall Pkwy , Panama City FL 32404-9495. 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, Teresa Michelle can be contacted via phone (850) 763-0505.Contact Information
Primary practice address
807 N Tyndall Pkwy
Panama City FL 32404-9495
Phone: (850) 763-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT16007 | Florida |
Profile Details
| NPI number | 1255487286 |
|---|---|
| LBN Legal business name | Wagner, Teresa Michelle |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Sep 19th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255487286 | NPPES |
| Florida | Other | Y8622 | BCBS |
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