Individual
KATHRYN WYRICK WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(912) 368-4131
Mailing address
12502 APACHE AVE APT 34, SAVANNAH, GA 31419-2307
(270) 799-3013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017382
GA
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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