| 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 |