Doctor Name: | DEREK WENZEL |
NPI Number: | 1144306325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 006301 |
Business Practice Address: | 101 North Plains Industrial Road Suite 100 Wallingford, CT - 06492 |
Business Phone Number: | 2032650018 |
Business Fax Number: | 2032654368 |
Mailing Address: | Po Box 1568, 101 North Plains Industrial Road Suite 100 WALLINGFORD |
State: | CT |
Postal Code: | 06492 |
Phone Number: | 2032650018 |
Fax Number: | 2032654368 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |