NPI | 1184847618 |
---|---|
Former Name | PAMELA GAIL WENGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305209578) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT008971L) |
2251X0800X Physical Therapist, Orthopedic (Licence: DC PT871933) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2023-08-25 |