NPI 1801244389

Colleen Wendtland, CPEDCFOM

Practitioner Pedorthist Banning, CA

Practice location

Address: 1468 Pepper Ln, Banning, CA 92220-1469
Phone: (909) 553-0646

Registered specialties (3)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Mastectomy Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1801244389
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2016
Record last updated: 25 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.