Individual
PAMELA J WENNDT
Active
Individual
PAMELA J WENNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, GCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00734
IA
225100000X
Physical Therapist
8612
MN
2251G0304X
Geriatric Physical Therapist
Primary
00734
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00734
IOWA PT LICENSE
IA
01
—
8612
MN PHYSICAL THERAPY LICENSE
MN
Enumeration date
01/23/2006
Last updated
05/23/2011
Update your record
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