Individual
DEBRA WISHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12124 HIGH TECH AVE, SUITE 300, ORLANDO, FL 32817-8373
(407) 249-6062
(877) 217-9271
Mailing address
12124 HIGH TECH AVE, SUITE 300, ORLANDO, FL 32817-8373
(407) 249-6062
(877) 217-9271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3850
NM
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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