Wagoner, Marjorie E
Wagoner, Marjorie E is an individual health care provider with primary practice located at 1350 41St Ave Ste 100 , Capitola CA 95010-3934. 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. Wagoner, Marjorie E can be contacted via phone (831) 706-2085.Contact Information
Primary practice address
1350 41St Ave Ste 100
Capitola CA 95010-3934
Phone: (831) 706-2085
Fax: (831) 417-3799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT294960 | California |
Profile Details
| NPI number | 1033605084 |
|---|---|
| LBN Legal business name | Wagoner, Marjorie E |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2018 |
| Last updated | Jul 15th, 2020 - about 6 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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