Individual
MR. CHAD ALAN WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2030 HIGHLAND AVE, C/O JEN RODER, BETHLEHEM, PA 18020-8963
(610) 393-9371
Mailing address
2030 HIGHLAND AVE, C/O JEN RODER, BETHLEHEM, PA 18020-8963
(610) 393-9371
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003491
PA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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