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Colleen Wendtland, CPED,CFOM
Orthotic Fitter in Banning, California
NPI 1801244389

Colleen Wendtland is a Orthotic Fitter based in Banning, CA. Colleen Wendtland practices in Banning, CA and has the professional credentials of CPED,CFOM. The NPI Number for Colleen Wendtland is 1801244389 and holds a License No. (California).

The current practice location address for Colleen Wendtland is 1468 Pepper Ln, Banning, CA and can be reached out via phone at 909-553-0646.

Location: 1468 Pepper Ln, Banning, CA, 92220-1469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801244389
Provider Name
Colleen Wendtland
Credential
CPED,CFOM
Provider Entity Type
Individual
Gender
Female
Address
1468 Pepper Ln, Banning, CA, 92220-1469
Phone Number
909-553-0646
Fax Number
Provider Enumeration Date
05/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1468 Pepper Ln
City
Banning
State
California
Zip
92220-1469
Phone Number
909-553-0646
Fax Number
person
Provider Business Mailing Address Details
Address
1468 Pepper Ln
City
Banning
State
California
Zip
92220-1469
Phone Number
909-553-0646
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
()
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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