Individual
WESLEY L GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 776-9258
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1568
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568
AKTA REGISTRATION NUMBER
VA
Enumeration date
05/10/2006
Last updated
11/04/2015
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