Individual
ERIN WYSMULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 CREASE ST, PHILADELPHIA, PA 19125-3201
(201) 841-7582
Mailing address
1323 CREASE ST, PHILADELPHIA, PA 19125-3201
(201) 841-7582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01509100
NJ
225100000X
Physical Therapist
Primary
PT025941
PA
Other
Enumeration date
10/12/2015
Last updated
03/04/2020
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