Individual
BENJAMIN WENDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4051 OGLETOWN RD, SUITE 202A, NEWARK, DE 19713-3101
(302) 607-6222
(302) 737-1883
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01326611
RAILROAD MEDICARE
PA
01
—
P01500883
RR MEDICARE
DE
Enumeration date
07/17/2013
Last updated
10/07/2015
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