Michael Gordon Wylie, PHYSICAL THERAPIST

NPI #1669671483 in Blaine, Washington

Provider Information

NPI Number: 1669671483
Entity Type: Individual
Name: Michael Gordon Wylie, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Jul 12, 2007
Last Updated: Jul 12, 2007

Practice Location

Address: 456 C ST
City: Blaine
State: Washington
ZIP Code: 98230-4238
Phone: (360) 332-8733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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