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Individual

MRS. HEATHER DIANE WENGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
(907) 357-2529
Mailing address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
(907) 357-2529

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02454
RI
225100000X
Physical Therapist
2118
NE
225100000X
Physical Therapist
Primary
2793
AK

Other

Enumeration date
11/01/2006
Last updated
06/23/2014
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