Individual
MRS. WENDY ANNE NEWGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
100 THORNDALE DRIVE, SAN RAFAEL, CA 94903
(415) 492-2419
(415) 492-0808
Mailing address
35 SHEILA COURT, NOVATO, CA 94947
(415) 897-8416
(415) 492-0808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT149
CA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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