Colleen Wendtland, CPED, CFOM

NPI #1801244389 in Banning, California

Provider Information

NPI Number: 1801244389
Entity Type: Individual
Name: Colleen Wendtland, CPED, CFOM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pedorthist
Credential: CPED, CFOM
Enumeration Date: May 25, 2016
Last Updated: May 25, 2016

Practice Location

Address: 1468 PEPPER LN
City: Banning
State: California
ZIP Code: 92220-1469
Phone: (909) 553-0646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X
Pedorthist	224L00000X	Primary
Orthotic Fitter	225000000X

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