Individual
CARLA WENGER-NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 NAVARRE PL, SUITE 6650, SOUTH BEND, IN 46601-1156
(574) 647-5007
(574) 647-6775
Mailing address
328 N MICHIGAN ST, SUITE 200, SOUTH BEND, IN 46601-1244
(574) 647-1842
(574) 647-1825
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05002607A
IN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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