Individual
WENDY J SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 DERONDA ST, AMERY, WI 54001-1402
(715) 268-5780
Mailing address
306 DERONDA ST, AMERY, WI 54001-1402
(715) 268-5780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1177-19
WI
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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