Individual
MISS EMMA N WYLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6850 LOWS RD, BLOOMSBURG, PA 17815
(570) 784-6860
(570) 784-5326
Mailing address
6850 LOWS RD, BLOOMSBURG, PA 17815
(570) 784-6860
(570) 784-5326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012661
PA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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