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Mrs. Sarah Wagoner, PT,DPT
Pediatric Physical Therapist in Oakland, California
NPI 1225400930

Sarah Wagoner is a Pediatric Physical Therapist based in Oakland, CA and is specialized in Pediatrics. Sarah Wagoner practices in Oakland, CA and has the professional credentials of PT,DPT. The NPI Number for Sarah Wagoner is 1225400930 and holds a License No. 41035 (California).

The current practice location address for Sarah Wagoner is 3600 Broadway, Oakland, CA and can be reached out via phone at 510-752-6561.

Location: 3600 Broadway, Oakland, CA, 94611-5730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225400930
Provider Name
Sarah Wagoner
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Female
Address
3600 Broadway, Oakland, CA, 94611-5730
Phone Number
510-752-6561
Fax Number
Provider Enumeration Date
10/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3600 Broadway
City
Oakland
State
California
Zip
94611-5730
Phone Number
510-752-6561
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Broadway
City
Oakland
State
California
Zip
94611-5730
Phone Number
510-752-6561
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
41035 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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