| NPI | 1306934914 |
|---|---|
| Former Name | WENDY ANNE LEVALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT27216) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA pt27216) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-05-22 |