Wagner, Kelly Danielle
Wagner, Kelly Danielle is an sole proprietor health care provider with primary practice located at 226 Fish Hall Rd , Brunswick GA 31523-7405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wagner, Kelly Danielle can be contacted via phone (678) 687-7390.Contact Information
Primary practice address
226 Fish Hall Rd
Brunswick GA 31523-7405
Phone: (678) 687-7390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA001543 | Georgia |
Profile Details
| NPI number | 1881925592 |
|---|---|
| LBN Legal business name | Wagner, Kelly Danielle |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2010 |
| Last updated | Dec 18th, 2015 - about 10 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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