Most Relevant Information
Provider Data
| NPI Number: | 1003504945 |
| Provider Name: | JOSHUA JOSEPH WAGNER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA29346 |
Most Important Dates
| Enumeration Date: | 04/28/2023 |
| Last Updated: | 04/28/2023 |
Provider Practice Location
2653 BRUCE B DOWNS BLVD STE 201
WESLEY CHAPEL
FL
335449206
Practice Location Phone/Fax
| Phone: | 8139789700 |
| Fax: |
Provider Mailing Location
13020 N TELECOM PKWY
TEMPLE TERRACE
FL
336370925
Provider Mailing Phone/Fax
| Phone: | 8139789700 |
| Fax: |