Individual
MICHELLE WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
959 KATIE HAMMOND ST, HANFORD, CA 93230-3158
(559) 589-7067
(559) 589-7015
Mailing address
1138 W QUAIL ROCK WAY, HANFORD, CA 93230-6591
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
293307
CA
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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