Individual
MRS. DENISE A WENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1623 NE 107TH AVE, VANCOUVER, WA 98664-4344
(360) 356-6811
(855) 840-8203
Mailing address
1202 NE 166TH AVE, VANCOUVER, WA 98684
(541) 292-4244
(360) 836-5715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06202
OR
225100000X
Physical Therapist
Primary
60013093
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992192231
—
WA
Enumeration date
10/26/2011
Last updated
04/26/2018
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