NPI 1023213857

Kim Michele Wyrwa, PTA

Practitioner Physical Therapy Assistant Dacula, GA

Practice location

Address: 3615 Braselton Hwy STE. 101, Dacula, GA 30019-5906
Phone: (770) 904-0772
Fax: (770) 904-0774
Mailing address: 2035 Wisteria CT, Lawrenceville, GA 30044-2891

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 001703 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1023213857
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.