Individual
BARRY MICHAEL WRENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
320 THOMAS ST, JERSEY SHORE, PA 17740-1049
(570) 398-1859
(570) 398-1707
Mailing address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016883
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016883
PA STATE BOARD
PA
Enumeration date
12/06/2005
Last updated
02/06/2015
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