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Individual
WENDY K DWYER
Active
Individual
WENDY K DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA07499
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114251300
DEPT OF LABOR
NJ
01
—
222386098
HEALTHNET NUMBER
NJ
01
—
3530214
AETNA NUMBER
NJ
Enumeration date
11/14/2006
Last updated
07/08/2007
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