| Andrew Howard Wagner, | |
|
120 Briggswood Dr, Elma, NY 14059-9477 | |
| (716) 432-5113 | |
| Not Available |
| Full Name | Andrew Howard Wagner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 120 Briggswood Dr, Elma, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780198416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 34249 (Florida) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Howard Wagner, 120 Briggswood Dr, Elma, NY 14059-9477 Ph: () - | Andrew Howard Wagner, 120 Briggswood Dr, Elma, NY 14059-9477 Ph: (716) 432-5113 |
Mrs. Judy Lynn Bremer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 West Maple Court, Elma, NY 14059 Phone: 716-805-1440 Fax: 716-805-1441 | |
Cheryl L. Aaron, PT, DPT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 West Maple Court, Elma, NY 14059 Phone: 716-805-1440 Fax: 716-805-1441 | |
Mary Catherine Bockhahn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 W Maple Ct, Elma, NY 14059 Phone: 716-805-1555 | |
Ms. Stephanie C Nichter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Woodside Dr, Elma, NY 14059 Phone: 716-652-0253 | |
Bryan Wittmeyer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7060 Seneca St, Plant 23, Elma, NY 14059 Phone: 716-687-4025 Fax: 716-687-7645 | |
Laura Beth Monheim, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2121 Bullis Rd, Elma, NY 14059 Phone: 716-864-4392 |