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NPI Code Detail

MEDICARE: STEVEN J WENTZ DPT

MEDICARE: STEVEN J WENTZ DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT014073OH

General Provider Information

NPI Number : 1881930881
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN J WENTZ DPT
Provider Business Mailing Address
First Line : 8073 WASHINGTON VILLAGE DR 110
Second Line :
City : DAYTON
State : OH
Zip : 45458-1847
Country : US
Telephone Number : 937-813-2110
Fax Number : 937-813-8025
Provider Business Practice Location Address
First Line : 108 BARRINGTON TOWN SQUARE DR
Second Line :
City : AURORA
State : OH
Zip : 44202-7792
Country : US
Telephone Number : 330-562-1655
Fax Number : 330-562-1653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2012
Last Update Date : 08/06/2015

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