Diana Wyatt

NPI #1134602436 in Benbrook, Texas

Provider Information

NPI Number: 1134602436
Entity Type: Individual
Name: Diana Wyatt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 12, 2018
Last Updated: Sep 12, 2018

Practice Location

Address: 10429 TREVINO LN
City: Benbrook
State: Texas
ZIP Code: 76126-4596
Phone: (903) 407-0113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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