Wagner, Tracey
Wagner, Tracey is an individual health care provider with primary practice located at 5601 Desoto Ave , Woodland Hillsq CA 91365. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Wagner, Tracey can be contacted via phone (818) 719-2930.Contact Information
Primary practice address
5601 Desoto Ave
Woodland Hillsq CA 91365
Phone: (818) 719-2930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT 26158 | California |
Profile Details
| NPI number | 1376766477 |
|---|---|
| LBN Legal business name | Wagner, Tracey |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 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.
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