Individual
KRISTIN WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E EVESHAM RD, VOORHEES, NJ 08043-9509
(856) 596-1113
Mailing address
1512 PLEASANT DR, CHERRY HILL, NJ 08003-3130
(609) 220-3169
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09150100
NJ
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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