Individual
THERESE ANN WENGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1206 NILES AVENUE, SAINT PAUL, MN 55116
(651) 434-1558
Mailing address
1206 NILES AVENUE, SAINT PAUL, MN 55116
(651) 434-1558
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
105019
MN
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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