Individual
JESSICA WYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6405 AUBURN DR, VIRGINIA BEACH, VA 23464-3613
(757) 420-0891
Mailing address
6405 AUBURN DR, VIRGINIA BEACH, VA 23464-3613
(757) 420-0891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602198
VA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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