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Individual

DR. KIMBERLY WENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
13 PARK LAWN DR, BETHEL, CT 06801-1043
(203) 830-4411
(203) 830-4185
Mailing address
23-1 MACINTOSH DR, OXFORD, CT 06478-3204

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003657
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
075400
FACILITY MEDICARE NUMBER- BETHEL HEALTH CARE CENTER
CT
Enumeration date
12/11/2008
Last updated
12/11/2008
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