Individual
DEREK ALLEN WENGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5660 W CORTARO FARMS RD STE 108, TUCSON, AZ 85742-9800
(520) 462-6167
(602) 795-8447
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
2251X0800X
Orthopedic Physical Therapist
1275711897
UT
Other
Enumeration date
03/30/2023
Last updated
05/15/2024
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