Individual
FONDA SHARKEY-WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Mailing address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001470
IL
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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