Individual
WENDY MARIE MUSSOMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3590 WASHINGTON PIKE, BRIDGEVILLE, PA 15017-1047
(412) 257-2474
(412) 257-4521
Mailing address
3138 BROADWAY AVE, PITTSBURGH, PA 15234-2721
(412) 207-4999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE004065
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TE004065L
PTA LICENSE
PA
Enumeration date
03/21/2007
Last updated
07/08/2007
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