Wagner, Elizabeth Ann

Wagner, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 16819 Torrence Ave , Lansing IL 60438-6019. 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, Elizabeth Ann can be contacted via phone (708) 394-5215.

Contact Information

Primary practice address
16819 Torrence Ave Lansing IL 60438-6019
Phone: (708) 394-5215
Fax: (708) 474-3853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT30032 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070022160 Illinois

Profile Details

NPI number 1104216555
LBN Legal business name Wagner, Elizabeth Ann
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2015
Last updated Apr 12th, 2019 - about 5 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.

Request for update

Popular Providers