Individual
DR. WANDA BROWN NITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 UNIVERSITY BLVD, SAINT AUGUSTINE, FL 32086-5799
(904) 826-0084
(904) 827-0069
Mailing address
4245 WICKS BRANCH RD, SAINT AUGUSTINE, FL 32086-5531
(904) 794-4354
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT16124
FL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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