Individual
ALEXIS WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 AUBREY AVE, PHILA, PA 19114
(215) 485-1539
Mailing address
3810 AUBREY AVE, PHILA, PA 19114
(215) 485-1539
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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