Individual
MATTHEW BRIAN WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 NORTHBROOK LN, SHREWSBURY, PA 17361-1256
(717) 891-9310
Mailing address
5 NORTHBROOK LN, SHREWSBURY, PA 17361-1256
(717) 891-9310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2019
Last updated
01/08/2020
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