Individual
JAY WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 TALL OAK BLVD, CHRISTIANSBURG, VA 24073-1594
(540) 808-6101
Mailing address
675 TALL OAK BLVD, CHRISTIANSBURG, VA 24073-1594
(540) 808-6101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603928
VA
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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