Provider Demographics
NPI:1376769497
Name:WERNOCH, WENDY B (PT)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:B
Last Name:WERNOCH
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 1:3637 WILDFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554-1142
Mailing Address - Country:US
Mailing Address - Phone:717-285-7156
Mailing Address - Fax:
Practice Address - Street 1:3637 WILDFLOWER LN
Practice Address - Street 2:
Practice Address - City:MOUNTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17554-1142
Practice Address - Country:US
Practice Address - Phone:717-285-7156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0188632251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics