Individual
WESLEY VAUGHN RISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Mailing address
1611 VALLEY RUN, DURHAM, NC 27707-3669
(484) 678-3377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17440
NC
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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