DR. Jeremy Wooten, PT, DPT

NPI #1609499946 in Vancleave, Mississippi

Provider Information

NPI Number: 1609499946
Entity Type: Individual
Name: DR. Jeremy Wooten, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 21, 2020
Last Updated: Apr 22, 2024

Practice Location

Address: 6300 E LAKE BLVD STE 101
City: Vancleave
State: Mississippi
ZIP Code: 39565-6771
Phone: (228) 215-2240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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