Madison Wise, PT, DPT

NPI #1043985492 in Live Oak, Texas

Provider Information

NPI Number: 1043985492
Entity Type: Individual
Name: Madison Wise, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Aug 9, 2021
Last Updated: Aug 9, 2021

Practice Location

Address: 7909 PAT BOOKER RD
City: Live Oak
State: Texas
ZIP Code: 78233-2602
Phone: (210) 653-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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