Individual
JESICA LYNN FITZWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7101 E 21ST ST N, WICHITA, KS 67206-1044
(316) 684-8018
Mailing address
1466 N ASTER ST, ANDOVER, KS 67002-8584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04513
KS
Other
Enumeration date
09/06/2007
Last updated
11/06/2019
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