Individual
CORRINE WENZEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
227 W DREXEL AVE, SAN ANTONIO, TX 78210-2912
(210) 731-1300
(210) 738-8025
Mailing address
3031 IH 10 W, SAN ANTONIO, TX 78201-5159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171648201
—
TX
Enumeration date
06/08/2006
Last updated
07/08/2007
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