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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FARLEY WAGNER, PT

Active Sole Proprietor

FARLEY WAGNER, PT is a Physical Therapy Assistant healthcare provider located in FARMINGTON, New York. NPI 1699312363 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FARMINGTON, NY

Registration Details

NPI Number
1699312363
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2019 (6.7125602189412 yrs)
Last Updated
Dec 2, 2019
License
11097-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1160 CORPORATE DR
FARMINGTON, NY, 144259534
Browse NY providers · Browse ZIP 14425
Phone
5859244459
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FARMINGTON, NY

Name Credential NPI
MS. MARCY P OSBURN PT 1629226352
JENNIFER LYNN COLELLA PT 1801431663
JIM CARL TAMALA YU PTA, PT 1952018269
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.