Heather Wynn, PTA

NPI #1518527167 in Cedar Hill, Missouri

Provider Information

NPI Number: 1518527167
Entity Type: Individual
Name: Heather Wynn, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 5555 CAPRINA LN
City: Cedar Hill
State: Missouri
ZIP Code: 63016-3522
Phone: (636) 544-0071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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