Individual
JENNIFER WYSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4900 SE WILLOUGHBY BLVD, STUART, FL 34997-4002
(772) 781-4503
Mailing address
1871 SW WILLOWBEND LN, PALM CITY, FL 34990-8412
(772) 485-9458
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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