Doctor Name: | COLLEEN M WAGAR |
NPI Number: | 1386659902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 8451 |
Business Practice Address: | 16455 Statesville Rd Suite 300 Huntersville, NC - 280787135 |
Business Phone Number: | 7048013719 |
Business Fax Number: | 7048013705 |
Mailing Address: | 1691 Old Harmony Dr Nw, CONCORD |
State: | NC |
Postal Code: | 280278031 |
Phone Number: | 7046749346 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |