Individual
KATHERINE WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1221 WAUGH CHAPEL RD, GAMBRILLS, MD 21054-1608
(410) 923-2020
Mailing address
19756 KENSINGTON DR, MOKENA, IL 60448-2412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5023
MD
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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