Jeremiah Wyman, PTA

NPI #1295987105 in Paoli, Indiana

Provider Information

NPI Number
1295987105
Entity Type
Individual
Name
Jeremiah Wyman, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Oct 22, 2008
Last Updated
Oct 22, 2008

Practice Location

Address
559 W LONGEST ST
City
Paoli
State
Indiana
ZIP Code
47454-9670
Phone
(812) 723-2595

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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