Individual
JOHN BRACE WYNKOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
6553 E BAYWOOD AVE STE 209, MESA, AZ 85206-1754
(460) 048-0712
Mailing address
6553 E BAYWOOD AVE STE 209, MESA, AZ 85206-1754
(480) 712-4600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034235
AZ
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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