Individual
DEREK WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 NORTH PLAINS INDUSTRIAL ROAD, SUITE 100, WALLINGFORD, CT 06492
(203) 265-0018
(203) 265-4368
Mailing address
PO BOX 1568, 101 NORTH PLAINS INDUSTRIAL ROAD SUITE 100, WALLINGFORD, CT 06492
(203) 265-0018
(203) 265-4368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006301
CT
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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