Wagner, Brianna
Wagner, Brianna is an sole proprietor health care provider with primary practice located at 1084 Sw Benchor Ave , Port Saint Lucie FL 34953-3424. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Wagner, Brianna can be contacted via phone (772) 301-4566.Contact Information
Primary practice address
1084 Sw Benchor Ave
Port Saint Lucie FL 34953-3424
Phone: (772) 301-4566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1275125635 |
|---|---|
| LBN Legal business name | Wagner, Brianna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2021 |
| Last updated | Feb 8th, 2021 - 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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