Wagner, Teresa Michelle

Wagner, Teresa Michelle is an sole proprietor health care provider with primary practice located at 807 N Tyndall Pkwy , Panama City FL 32404-9495. 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, Teresa Michelle can be contacted via phone (850) 763-0505.

Contact Information

Primary practice address
807 N Tyndall Pkwy Panama City FL 32404-9495
Phone: (850) 763-0505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT16007 Florida

Profile Details

NPI number 1255487286
LBN Legal business name Wagner, Teresa Michelle
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Sep 19th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255487286 NPPES
Florida Other Y8622 BCBS

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