Provider Demographics
NPI:1184819526
Name:SHELHAMER, WENDY W (PT)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:W
Last Name:SHELHAMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4936 YORK ROAD,
Mailing Address - Street 2:STE. 1100
Mailing Address - City:BUCKINGHAM
Mailing Address - State:PA
Mailing Address - Zip Code:18912
Mailing Address - Country:US
Mailing Address - Phone:215-794-7580
Mailing Address - Fax:215-794-7539
Practice Address - Street 1:4936 YORK ROAD,
Practice Address - Street 2:STE. 1100
Practice Address - City:BUCKINGHAM
Practice Address - State:PA
Practice Address - Zip Code:18912
Practice Address - Country:US
Practice Address - Phone:215-794-7580
Practice Address - Fax:215-794-7539
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist