Individual
MR. GREGORY DENNIS WERTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(800) 505-2101
(814) 231-8569
Mailing address
526 BRIARWOOD LN, STATE COLLEGE, PA 16803-1303
(814) 574-4354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT0003295
PA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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