Individual
MRS. WENDELIN JEAN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8529 LYONS PL, PHILADELPHIA, PA 19153-1911
(215) 492-9663
Mailing address
8529 LYONS PL, PHILADELPHIA, PA 19153-1911
(215) 492-9663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 006246-L
PA
2251H1200X
Hand Physical Therapist
Primary
PT 006246-L
PA
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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