Provider Demographics
NPI:1053393850
Name:HART, WENDY GAY (MS, LAT, ATC)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:GAY
Last Name:HART
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:242 NOBLE AVE
Mailing Address - Street 2:APT. # 202
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-2772
Mailing Address - Country:US
Mailing Address - Phone:412-432-3633
Mailing Address - Fax:412-432-3774
Practice Address - Street 1:3200 S WATER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2307
Practice Address - Country:US
Practice Address - Phone:412-432-3633
Practice Address - Fax:412-432-3774
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001343A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer