Individual
MR. WILEY JACOB CHRISTIAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 MEMORIAL HOSPITAL DR, SUITE 1-C SPRINGHILL MEDICAL CENTER, MOBILE, AL 36608
(251) 340-0688
(251) 340-0850
Mailing address
6657 SUGAR CREEK DRIVE SOUTH, MOBILE, AL 36695
(251) 634-9674
(251) 340-0850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
887
AL
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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