Individual
KRISTIN WYRWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2900 CHARLEVOIX DR SE, GRAND RAPIDS, MI 49546-7085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002293
PA
Other
Enumeration date
06/09/2009
Last updated
06/28/2010
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