Individual
WILLIAM HENRY WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00587
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26804
BCBS
RI
01
—
403815
BCHIP
RI
01
—
6400236
UHP
—
Enumeration date
05/03/2006
Last updated
07/13/2026
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