Individual
KURT A. WESSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1885 NW 185TH AVE, ALOHA, OR 97006-2794
(503) 216-9760
(503) 216-9755
Mailing address
1885 NW 185TH AVE, ALOHA, OR 97006-2794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4074
OR
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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