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Individual
WENDI W. POPPENHAGEN
Active
Individual
WENDI W. POPPENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012817
—
WA
Enumeration date
01/19/2007
Last updated
05/02/2019
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