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Individual
MRS. WENDY WANG
Active
Individual
MRS. WENDY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000498L
PA
225100000X
Physical Therapist
Primary
PT015777
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470722000
HIGHMARK BS
—
01
—
AK000498L
ACCUPUNTURE
PA
01
—
P00174497
RR MEDICARE
—
Enumeration date
07/04/2006
Last updated
02/28/2014
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