Individual
MRS. WENDY CHANTEL MOREIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6701 W BONDELL ST, WASILLA, AK 99654
(907) 357-9755
Mailing address
PO BOX 298658, WASILLA, AK 99629
(907) 357-9755
(907) 357-9499
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
305
AK
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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