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Individual

MR. CAPP WYATT WORMLEY IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
5 HARRIS CT, BUILDING T, SUITE 102, MONTEREY, CA 93940-5750
(831) 372-3579
(831) 372-3779
Mailing address
PO BOX 222342, CARMEL, CA 93922-2342
(831) 372-3579
(831) 372-3779

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36424
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36424
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
01/21/2010
Last updated
01/21/2010
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