Tina Marie Wanner, | |
3050 N Ormsby Blvd, Carson City, NV 89703-8378 | |
(775) 841-4646 | |
Not Available |
Full Name | Tina Marie Wanner |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 3050 N Ormsby Blvd, Carson City, Nevada |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902317944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2029 (Nevada) | Secondary |
208100000X | Physical Medicine & Rehabilitation | PT2029 (Nevada) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tina Marie Wanner, 3050 N Ormsby Blvd, Carson City, NV 89703-8378 Ph: () - | Tina Marie Wanner, 3050 N Ormsby Blvd, Carson City, NV 89703-8378 Ph: (775) 841-4646 |
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