Individual
STEPHANIE WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7212
Mailing address
56 OLIVE ST, WATERFORD, CT 06385-2346
(860) 437-0280
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7841
MA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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