Individual
MR. IRA H WENZE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L
Contact information
Practice address
41 N NAVY BLVD, PENSACOLA, FL 32507-2001
(850) 525-5870
Mailing address
41 N NAVY BLVD, PENSACOLA, FL 32507-2001
(847) 477-2789
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT17525
FL
Other
Enumeration date
10/15/2019
Last updated
03/20/2022
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