Provider Demographics
NPI:1932293446
Name:WENTZ, ADRIENNE ELIZABETH (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:ELIZABETH
Last Name:WENTZ
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-0150
Mailing Address - Country:US
Mailing Address - Phone:419-221-6727
Mailing Address - Fax:419-224-2281
Practice Address - Street 1:3861 OAKWATER CIR
Practice Address - Street 2:SUITE 1
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6258
Practice Address - Country:US
Practice Address - Phone:407-481-8861
Practice Address - Fax:407-852-5939
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00160225XH1200X
MO001286225XH1200X
FLOT15470225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand