Wyrwa, Kim Michele

Wyrwa, Kim Michele is an sole proprietor health care provider with primary practice located at 3615 Braselton Hwy Ste. 101, Dacula GA 30019-5906. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wyrwa, Kim Michele can be contacted via phone (770) 904-0772.

Contact Information

Primary practice address
3615 Braselton Hwy Ste. 101 Dacula GA 30019-5906
Phone: (770) 904-0772
Fax: (770) 904-0774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 001703 Georgia

Profile Details

NPI number 1023213857
LBN Legal business name Wyrwa, Kim Michele
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 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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