Individual
WENDY D GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2930
Mailing address
2092 SPECK LN, NEWBURY PARK, CA 91320-4519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 2574
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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