Individual
JENNIFER WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
801 WYNDHURST DR, LYNCHBURG, VA 24502-2550
(434) 237-8160
Mailing address
664 LAXTON RD, APT. 1, LYNCHBURG, VA 24502-2570
(434) 420-0311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602171
VA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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