Individual
KALAN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5399 S US HIGHWAY 41 STE 113, TERRE HAUTE, IN 47802-4781
(812) 298-8883
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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