Jill R Wentworth, PTA

NPI #1194973693 in Green Bay, Wisconsin

Provider Information

NPI Number
1194973693
Entity Type
Individual
Name
Jill R Wentworth, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 9, 2008
Last Updated
Sep 9, 2008

Practice Location

Address
1630 COMMANCHE AVE
ZIP Code
54313-6089
Phone
(920) 430-4750

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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