Individual
WENDY WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12972 N DALE MABRY HWY, TAMPA, FL 33618-2806
(813) 230-0260
Mailing address
12972 N DALE MABRY HWY, TAMPA, FL 33618-2806
(813) 230-0260
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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