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1770709032
JESSICA D WYSOCARSKI
ORMOND BEACH, FL
NPI
1770709032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21770)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- JESSICA D WYSOCARSKI PT
305 CLYDE MORRIS BLVD SUITE 220
ORMOND BEACH, FL 32174-8181
Phone number: 386-676-3130
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Mailing Address
-- JESSICA D WYSOCARSKI PT
1727 ARASH CIR
PORT ORANGE, FL 32128-7328
Phone number: 386-562-2650
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