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Individual
JENNIFER N WIRT
Active
Individual
JENNIFER N WIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292214
CA
225100000X
Physical Therapist
4362
OK
Other
Enumeration date
09/21/2010
Last updated
04/22/2019
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