Individual
KRISTIN L WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 PENNY LN, MOREHEAD CITY, NC 28557-4304
(413) 822-8828
Mailing address
PO BOX 1743, MOREHEAD CITY, NC 28557-1743
(413) 822-8828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3712
NC
225200000X
Physical Therapy Assistant
7768
MA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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