Individual
MRS. PAMELA ANN WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
509 GROVE STREET, WAKEFIELD, KS 67487
(785) 461-5417
(785) 461-5667
Mailing address
332 WEBSTER STREET, CLAY CENTER, KS 67432
(785) 632-2654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00601
KS
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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