National Provider Identifier
Marissa Wagner, PT, DPT
Marissa Wagner, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Painted Post, NY and a listed phone number of (570) 335-4782.
Profile Overview
- NPI
- 1235485244
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 27, 2012
- Last Updated
- December 11, 2018
Practice Location
- 127 Woods Edge Dr
- Painted Post, NY 14870-9047
Phone: (570) 335-4782
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1235485244
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Marissa
- Credential
- PT, DPT
- Mailing Street Address
- 127 Woods Edge Dr
- Mailing City
- Painted Post
- Mailing State
- NY
- Mailing ZIP Code
- 14870-9047
- Mailing Country
- US
- Mailing Phone
- (570) 335-4782
- Practice Street Address
- 127 Woods Edge Dr
- Practice City
- Painted Post
- Practice State
- NY
- Practice ZIP Code
- 14870-9047
- Practice Country
- US
- Practice Phone
- (570) 335-4782
- Enumeration Date
- July 27, 2012
- Last Updated
- December 11, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)