Provider Demographics
NPI:1033395884
Name:DUGAN, WENDY SUE (CMT/NMT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:SUE
Last Name:DUGAN
Suffix:
Gender:F
Credentials:CMT/NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FARM LN
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:17345-1531
Mailing Address - Country:US
Mailing Address - Phone:717-309-3637
Mailing Address - Fax:
Practice Address - Street 1:25 FARM LN
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:PA
Practice Address - Zip Code:17345-1531
Practice Address - Country:US
Practice Address - Phone:717-309-3637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist