Individual
DR. MICHELLE LEA WYNGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2131 O ST NW # 20037, WASHINGTON, DC 20037-1008
(888) 400-7342
Mailing address
60 L ST NE, WASHINGTON, DC 20002-2020
(863) 446-0558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT872285
DC
Other
Enumeration date
08/12/2018
Last updated
06/11/2019
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