Individual
DEBORAH N WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9830 W I-70 FRONTAGE RD S, WHEAT RIDGE, CO 80033
(303) 467-4100
Mailing address
DEPT 557, DENVER, CO 80291-0557
(303) 467-4155
(303) 467-4156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2957
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2957
STATE LICENSE
CO
05
—
50987054
—
CO
Enumeration date
06/27/2007
Last updated
11/01/2007
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