Fonda Sharkey-wyatt

NPI 1003123522 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1003123522
Gender Female
Enumeration Date 09/03/2010
Last Updated 09/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2 KEEWAYDIN DR
SALEM NH, 03079-2839, US
Phone (800) 995-2673
Fax (866) 420-1055
Business Location
2 KEEWAYDIN DR
SALEM NH, 03079-2839, US
Phone (800) 995-2673
Fax (866) 420-1055
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160001470
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According to our database, Fonda Sharkey-wyatt NPI is 1003123522, taxonomy code is 225200000X and license number is 160001470, license state is located at Illinois. Fonda Sharkey-wyatt physically located at 2 Keewaydin Dr, Salem NH, 03079-2839. NPI Number Fonda Sharkey-wyatt has the Individual type.

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1003123522 NPI number is provided on an as is basis without warranty of any kind. 1003123522 is maintained by the National Plan & Provider Enumeration System. The contents of Fonda Sharkey-wyatt are for informational purposes only.