| NPI | 1295135424 |
|---|---|
| Former Name | AMY MARIE WYMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06000978A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 06000978A) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2019-01-03 |