Individual
MRS. CHRISTELLE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 SE CANBY RD, PORT SAINT LUCIE, FL 34952-5860
(772) 418-0342
Mailing address
3131 SE CANBY RD, PORT SAINT LUCIE, FL 34952-5860
(772) 418-0342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA17065
FL
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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