M. DAVEDA WINGENBACH

LIVERPOOL, NY
NPI1821370164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  007377)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
Mrs. M. DAVEDA WINGENBACH PT
195 BLACKBERRY RD
LIVERPOOL, NY 13090-3047
Phone number: 315-622-7160
Mailing Address
Mrs. M. DAVEDA WINGENBACH PT
50 IRONWOOD DR
PENNELLVILLE, NY 13132-3143
Phone number: 315-668-8152
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