Individual
MRS. DONNA LYNN WENNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
3200 PARKWAY RD, BIG SPRING, TX 79720-6800
(432) 263-0739
Mailing address
3200 PARKWAY RD, BIG SPRING, TX 79720-6800
(432) 263-0739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014452
TX
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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