MEDICARE: ANNA MARIE WAGNER

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
1	225200000X	Physical Therapy Assistant	4885	AL

General Provider Information

NPI Number	:	1598855249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIE WAGNER

Provider Business Mailing Address
First Line	:	1121 FIVE MILE RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35215-7215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 BROOKWOOD MEDICAL CTR DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6804
Country	:	US
Telephone Number	:	205-877-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	04/19/2026

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Directions to “ ANNA MARIE WAGNER ” Practice Location

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