Wisham, Jennifer M

Wisham, Jennifer M is an individual health care provider with primary practice located at 665 Gaines School Rd. , Athens GA 30605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wisham, Jennifer M can be contacted via phone (706) 369-8115.

Contact Information

Primary practice address
665 Gaines School Rd. Athens GA 30605
Phone: (706) 369-8115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008975 Georgia

Profile Details

NPI number 1285751354
LBN Legal business name Wisham, Jennifer M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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