Wagoner, Sarah

Wagoner, Sarah is an individual health care provider with primary practice located at 3600 Broadway , Oakland CA 94611-5730. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wagoner, Sarah can be contacted via phone (510) 752-6561.

Contact Information

Primary practice address
3600 Broadway Oakland CA 94611-5730
Phone: (510) 752-6561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 41035 California

Profile Details

NPI number 1225400930
LBN Legal business name Wagoner, Sarah
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2015
Last updated Jan 11th, 2022 - about 2 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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