Jeremy Wist
NPI #1891478343 in Kennett Square, Pennsylvania
Provider Information
- NPI Number
- 1891478343
- Entity Type
- Individual
- Name
- Jeremy Wist
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Aug 10, 2023
- Last Updated
- Aug 10, 2023
Practice Location
- Address
- 101 E STATE ST
- City
- Kennett Square
- State
- Pennsylvania
- ZIP Code
- 19348-3109
- Phone
- (800) 728-8808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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