Healthcare Provider Details

I. General information

NPI: 1407867617
Provider Name (Legal Business Name): WENDY RENE NORFOLK M.S.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 STEELE ST STE 200
DENVER CO
80206-4479
US

IV. Provider business mailing address

311 STEELE ST STE 200
DENVER CO
80206-4479
US

V. Phone/Fax

Practice location:
  • Phone: 303-370-2670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6810
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: