Provider Demographics
NPI:1306934914
Name:NEWMAN, WENDY ANNE (MSPT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ANNE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:ANNE
Other - Last Name:LEVALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:5337 TRUXTUN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0641
Mailing Address - Country:US
Mailing Address - Phone:661-324-0122
Mailing Address - Fax:661-324-0830
Practice Address - Street 1:5337 TRUXTUN AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0641
Practice Address - Country:US
Practice Address - Phone:661-324-0122
Practice Address - Fax:661-324-0830
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT272162251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics