Individual
JANICE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1053 TINA LADNER VIC FAYE RD, PASS CHRISTIAN, MS 39571-8920
(228) 255-5151
Mailing address
1053 TINA LADNER VIC FAYE RD, PASS CHRISTIAN, MS 39571-8920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT115
MS
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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