Individual
JANAE MARIE WOLLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
2121 MEADOWLARK RD, MANHATTAN, KS 66502-4556
(785) 323-3873
Mailing address
108 EJ FRICK DR, MANHATTAN, KS 66503-3032
(785) 537-2023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01623
KS
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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