Individual
RUTH ELLEN WANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18700 N 64RTH DR, PHOENIX, AZ 85308
(602) 512-8623
Mailing address
7200 W BELL RD, SUITE F-101, GLENDALE, AZ 85308-8529
(623) 776-9111
(623) 776-9115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-001726
AZ
Other
Enumeration date
05/11/2006
Last updated
01/29/2025
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