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Individual
MRS. TAREY ANN WENNINGER
Active
Individual
MRS. TAREY ANN WENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.,
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6483-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801882451
NPI-INDVL
WI
Enumeration date
01/05/2007
Last updated
07/08/2007
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