National Provider Identifier
Mary Phyllis Wenke, P.T.
Mary Phyllis Wenke, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1780750760
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 28, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2565 Elmwood Ave
- Kenmore, NY 14217-1939
Phone: (716) 871-9883
Mailing Address
- 2319 Johnson RD
- Olean, NY 14760-9793
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1780750760
- Entity Type
- Individual
- Last Name
- Wenke
- First Name
- Mary
- Middle Name
- Phyllis
- Credential
- P.T.
- Mailing Street Address
- 2319 Johnson RD
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-9793
- Mailing Country
- US
- Mailing Phone
- (716) 372-7076
- Practice Street Address
- 2565 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1939
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Practice Fax
- (716) 871-9887
- Enumeration Date
- November 28, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)