Individual
JESSICA L WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7590 FAY AVE, SUITE 5252, LA JOLLA, CA 92037-4885
(858) 224-3387
Mailing address
7590 FAY AVE, SUITE 525, LA JOLLA, CA 92037-4885
(858) 224-3387
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207992
VA
2251X0800X
Orthopedic Physical Therapist
Primary
41929
CA
Other
Enumeration date
07/29/2013
Last updated
06/10/2016
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