Individual
DR. JONATHAN WADE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AIR FORCE BASE, DE 19902-5003
(302) 677-2568
Mailing address
300 TUSKEGEE BLVD, DOVER AIR FORCE BASE, DE 19902-5003
(302) 677-2568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP017653T
MD
225100000X
Physical Therapist
Primary
J1-0014311
DE
Other
Enumeration date
03/02/2021
Last updated
05/06/2024
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