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Mr. Justin Roman Wagner, PT
Specialist in Cedar Rapids, Iowa
NPI 1669451472

Justin Roman Wagner is a Specialist based in Cedar Rapids, IA. Justin Roman Wagner practices in Cedar Rapids, IA and has the professional credentials of PT. The NPI Number for Justin Roman Wagner is 1669451472 and holds a License No. 03670 (Iowa).

The current practice location address for Justin Roman Wagner is Rec Center Physical Therapy, Cedar Rapids, IA and can be reached out via phone at 319-295-8899 and via fax at 319-295-8833.

Location: Rec Center Physical Therapy, Cedar Rapids, IA, 52498-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669451472
Provider Name
Justin Roman Wagner
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
Rec Center Physical Therapy, Cedar Rapids, IA, 52498-0001
Phone Number
319-295-8899
Fax Number
319-295-8833
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38070 01 IA WELLMARK PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
Rec Center Physical Therapy
City
Cedar Rapids
State
Iowa
Zip
52498-0001
Phone Number
319-295-8899
Fax Number
319-295-8833
person
Provider Business Mailing Address Details
Address
Rec Center Physical Therapy
City
Cedar Rapids
State
Iowa
Zip
52498-0001
Phone Number
319-295-8899
Fax Number
319-295-8833
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
03670 (Iowa)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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