Individual
MS. JANE MARIE WENTZIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
5445 AVENUE O, FORT MADISON, IA 52627-9611
(319) 376-2072
(319) 376-2049
Mailing address
1 28TH PL, FORT MADISON, IA 52627-2147
(319) 376-2072
(319) 376-2049
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
02092
IA
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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