Individual
CHRISTOPHER DENDE WANYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
Mailing address
430 INNOVATION DR, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025588
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019541330001
—
PA
Enumeration date
09/20/2016
Last updated
03/06/2023
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