Individual
CHRISTINE F WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2277 GOSHEN TPKE, MIDDLETOWN, NY 10941-4032
(845) 692-4391
Mailing address
2277 GOSHEN TPKE, MIDDLETOWN, NY 10941-4032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003752-1
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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