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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS DEAN WISDOM, P.T.

Active Sole Proprietor

DOUGLAS DEAN WISDOM, P.T. is a Physical Therapy Assistant healthcare provider located in EL CENTRO, California. NPI 1912157637 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EL CENTRO, CA

Registration Details

NPI Number
1912157637
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2008 (17.833176839337 yrs)
Last Updated
Oct 7, 2019
License
PT10870 (CA)
Sole Proprietor
Yes

Practice Information

Address
426 N IMPERIAL AVE
EL CENTRO, CA, 922432329
Browse CA providers · Browse ZIP 92243
Phone
7605928148
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in EL CENTRO, CA

Name Credential NPI
MISS ANN-MARIE WURZBACH PT 1194727222
RUSSELL DIAL P.T. 1295798676
JAMES E BEDROSSIAN P.T. 1508816943
MR. FARID MEMAR ZIA P.T. 1790837987
GIOVANNA R. CASILLAS P.T. 1780703868
BECKY MCQUAIN PT 1770923781
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.