Individual
GWENN WASMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 W SYCAMORE ST STE 140, KOKOMO, IN 46901-6463
(765) 434-5524
Mailing address
1837 CAROL LYNN DR, KOKOMO, IN 46901-3279
(765) 434-5524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002294A
IN
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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