Individual
AMANDA KAY WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HOLLY RD, HAMBURG, PA 19526-8729
(610) 562-2284
Mailing address
13 PENNY LN, LEBANON, PA 17046-9214
(717) 274-2938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016920
PA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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