| Doctor Name: | STACI PAULA WENGER |
| NPI Number: | 1124230719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT015203 |
| Business Practice Address: | 1415 Route 70 East-suite 103 Cherry Hill, NJ - 08034 |
| Business Phone Number: | 8564828494 |
| Business Fax Number: | |
| Mailing Address: | 1623 Old Black Horse Pike, BLACKWOOD |
| State: | NJ |
| Postal Code: | 08012 |
| Phone Number: | 2155706609 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT015203 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |