Kim Michele Wyrwa, PTA

NPI #1023213857 in Dacula, Georgia

Provider Information

NPI Number
1023213857
Entity Type
Individual
Name
Kim Michele Wyrwa, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jun 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3615 BRASELTON HWY
Address 2
STE. 101
City
Dacula
State
Georgia
ZIP Code
30019-5906
Phone
(770) 904-0772

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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