Organization
WENDY FENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY JOYCE FENTON BS (OTR)
(970) 769-2166
Entity
Organization
Contact information
Practice address
321 E 37TH ST, DURANGO, CO 81301-4068
(970) 769-2166
Mailing address
321 E 37TH ST, DURANGO, CO 81301-4068
(970) 769-2166
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
3679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3679
ARIZONA STATELICENSURE OT
AZ
Enumeration date
08/07/2007
Last updated
08/07/2007
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