| Willard Cole Waggoner, PT, DPT, CSCS | |
|
7311 Grove Rd Ste H, Frederick, MD 21704-3300 | |
| (240) 608-6031 | |
| Not Available |
| Full Name | Willard Cole Waggoner |
|---|---|
| Gender | Facility |
| Speciality | Physical Therapist |
| Location | 7311 Grove Rd Ste H, Frederick, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. It may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295645505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 30981 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Willard Cole Waggoner, PT, DPT, CSCS 6700b Overton Cir Apt 21, Frederick, MD 21703-7047 Ph: Not Available | Willard Cole Waggoner, PT, DPT, CSCS 7311 Grove Rd Ste H, Frederick, MD 21704-3300 Ph: (240) 608-6031 |
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