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Individual
VERRELLE LEE WYATT
Active
Individual
VERRELLE LEE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.014845
OH
2251S0007X
Sports Physical Therapist
PT.014845
OH
Other
Enumeration date
01/19/2015
Last updated
02/16/2024
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