Most Relevant Information
Provider Data
NPI Number: | 1003332024 |
Provider Name: | WENDY MARONGE |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 3528 |
Most Important Dates
Enumeration Date: | 08/22/2017 |
Last Updated: | 08/22/2017 |
Provider Practice Location
7054 VETERANS PKWY
PELL CITY
AL
351255117
Practice Location Phone/Fax
Phone: | 2052277985 |
Fax: |
Provider Mailing Location
4109 HIGHWAY 98 W
SUMMIT
MS
396669132
Provider Mailing Phone/Fax
Phone: | 6012763909 |
Fax: |