DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DEBORAH ANN WAGNER-SMITH P.T.

MEDICARE: DEBORAH ANN WAGNER-SMITH P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT003965LPA

General Provider Information

NPI Number : 1205957743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN WAGNER-SMITH P.T.
Provider Business Mailing Address
First Line : 505 FAIRVIEW RD
Second Line :
City : CLARKS SUMMIT
State : PA
Zip : 18411-8974
Country : US
Telephone Number : 570-587-9061
Fax Number :
Provider Business Practice Location Address
First Line : 915 DELAWARE ST
Second Line :
City : FOREST CITY
State : PA
Zip : 18421-1005
Country : US
Telephone Number : 570-785-3390
Fax Number : 570-785-3937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1750378196 — LTC ASSOCIATES
Practice Location Address:
915 DELAWARE ST
FOREST CITY, PA
18421-1005
Practice Phone: 570-785-3005
Practice Fax: 570-785-9559
1255453635 — CYNTHIA MARIE GENTILE
Practice Location Address:
915 DELAWARE ST
FOREST CITY, PA
18421-1005
Practice Phone: 570-785-3390
Practice Fax:
1730302688 — LORI ANN LAGODA
Practice Location Address:
915 DELAWARE ST
FOREST CITY, PA
18421-1005
Practice Phone: 570-785-3390
Practice Fax:
1417172685 — BRANDI ANN SCHIAVONE MS OTRL
Practice Location Address:
915 DELAWARE ST
FOREST CITY, PA
18421-1005
Practice Phone: 570-785-3390
Practice Fax: 570-785-3937
1891911798 — MRS. CHRISTINE SZYMASZEK
Practice Location Address:
915 DELAWARE ST
FOREST CITY, PA
18421-1005
Practice Phone: 570-785-3390
Practice Fax: 570-785-3937
1770745598 — LTC ASSOCIATES LLC
Practice Location Address:
915 DELAWARE ST
FOREST CITY, PA
18421-1005
Practice Phone: 570-785-3005
Practice Fax: 570-785-3005

Directions to “ DEBORAH ANN WAGNER-SMITH P.T.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.