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Individual

WENDY RUNLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779
Mailing address
PO BOX 660, 85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3003
CA

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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