Individual
JANELL WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E 19TH ST, MCMC PHYSICAL THERAPY DEPT./ M-POWER REHAB, THE DALLES, OR 97058-3317
(541) 296-7282
Mailing address
PO BOX 161, 480 NE 4TH STREET, DUFUR, OR 97021-0161
(541) 604-6094
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
00907
OR
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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