Individual ProviderWendy BenwellPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address737 Pearl St, Suite 108, La Jolla, CA 92037-0056(858) 456-2114PECOS EnrollmentBased on the most recent information from CMS, provider Wendy Benwell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861674640Provider TypeIndividualFull NameBenwell, WendyCredentialPTGenderFemaleSole ProprietorNoEnumeration Date12/3/2007Last Updated12/4/2009Contact InformationPractice LocationPractice Address737 Pearl St, Suite 108, La Jolla, CA 92037-0056Phone(858) 456-2114Fax(858) 456-2103Mailing LocationMailing Address737 Pearl St, Suite 108, La Jolla, CA 92037-0056Phone(858) 456-2114Fax(858) 456-2103Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense34263California