Individual
MISS LAURA ANNE WANENCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
GENESIS REHAB SERVICES, 2760 PINE GROVE ROAD, YORK, PA 17403
(717) 741-5118
Mailing address
2760 PINE GROVE RD, YORK, PA 17403-5170
(717) 764-1190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011618
PA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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