Individual
DEANNA WIGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2327 N STONEYBROOK CT, WICHITA, KS 67226-3604
(316) 993-3839
Mailing address
2327 N STONEYBROOK CT, WICHITA, KS 67226-3604
(316) 993-3839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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