Individual
JOSEPH ROBERT WYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
420 12TH AVE E, ALEXANDRIA, MN 56308-2612
(320) 335-8697
Mailing address
1202 S LE HOMME DIEU DR NE, ALEXANDRIA, MN 56308-7600
(320) 304-4086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105623
MN
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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