STEPHEN ALFRED WESSENBERG

BONNEY LAKE, WA
NPI1730908542
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  PTA-1143)
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
STEPHEN ALFRED WESSENBERG PTA, BS, AS
10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391-6540
Phone number: 253-987-7509
Mailing Address
STEPHEN ALFRED WESSENBERG PTA, BS, AS
4709 SHELL BEACH AVE
CHEYENNE, WY 82009-5641
Phone number: 307-274-6717
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