Individual
BRIANA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6870 ALISTER WAY, FORT MYERS, FL 33912-4535
(239) 210-5483
Mailing address
8096 PELICAN RD, FORT MYERS, FL 33967-3464
(630) 415-4638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34703
FL
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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