Tracey Wagner is a Orthopedic in Woodland Hillsq, California. Tracey Wagner practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Tracey Wagner is 1376766477. The last update date is 2007-07-08.
Tracey Wagner's current location address is 5601 Desoto Ave, Woodland Hillsq, California. You can contact this provider via phone number 8187192930. The mailing address for Tracey Wagner is 5601 Desoto Ave, Woodland Hillsq, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Wagner |
|---|---|
| Address | 5601 Desoto Ave, Woodland Hillsq, California |
| Phone Number | 8187192930 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPT |
NPI Number Detail
| NPI Number | 1376766477 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5601 Desoto Ave |
|---|---|
| City | Woodland Hillsq |
| State | California (CA) |
| Post Code | 91365 |
| Phone Number | 8187192930 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT 26158 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tracey Wagner?
The Tracey Wagner has been issued the NPI (National Provider Identifier) 1376766477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Tracey Wagner's physical address?
The Tracey Wagner is physically located at 5601 Desoto Ave, in the city of Woodland Hillsq, CA, with the postal code 91365.
What is Tracey Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracey Wagner's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 2251X0800X.
On what date did Tracey Wagner receive its 1376766477 assignment from the Centers for Medicare & Medicaid Services?
The Tracey Wagner was assigned its 1376766477 on 2007-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tracey Wagner last refreshed?
The information related to the Tracey Wagner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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