Individual
MADISON WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1000
Mailing address
97 HINSDALE ST, KINGSTON, NY 12401-1821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011200
NY
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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