Individual
GINA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2851 S AVENUE B, YUMA, AZ 85364-7726
(800) 391-9477
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11157
AZ
Other
Enumeration date
10/22/2014
Last updated
03/18/2024
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