| NPI | 1861585622 |
|---|---|
| Professional Name | PATRICIA GRACE WENTWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 6191200) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MA 393) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-08-20 |