Individual
DR. JARED WYDYSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2580 MAIN ST, TEWKSBURY, MA 01876-3155
(315) 749-8037
Mailing address
155 EASTERN AVE APT 101, MANCHESTER, NH 03104-4642
(315) 749-8037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037923
NY
225100000X
Physical Therapist
Primary
22778
MA
Other
Enumeration date
05/30/2015
Last updated
01/18/2017
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