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1609601194
MADELYN ELIZABETH WENGYN
LAKELAND, FL
NPI
1609601194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OT25646)
Enumeration Date
2024-09-04
Last Update Date
2024-10-14
Business Address
Dr. MADELYN ELIZABETH WENGYN OTD
4725 US HIGHWAY 98 S STE 101102
LAKELAND, FL 33812-4334
Phone number: 863-328-5410
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Mailing Address
Dr. MADELYN ELIZABETH WENGYN OTD
2609 DURANT WOODS ST
VALRICO, FL 33596-5935
Phone number: 813-507-0866
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