Individual
PAULETT R WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED FITTER
Contact information
Practice address
4419 CENTENNIAL BLVD # 106, COLORADO SPRINGS, CO 80907-3739
(719) 351-8286
(719) 265-9334
Mailing address
4419 CENTENNIAL #106, COLORADO SPRINGS, CO 80907
(719) 351-8286
(719) 265-9334
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
CO
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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