Individual
WENDY M FOGELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
123 E JOHNSON AVE, SUITE 4, CHELAN, WA 98816
(509) 682-4713
(509) 682-3218
Mailing address
PO BOX 6, CHELAN, WA 98816-0006
(509) 682-4713
(509) 682-3218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P10038766
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10038766
STATE LICENSE
WA
Enumeration date
02/15/2019
Last updated
02/15/2019
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