Individual provider · Type 1 NPI

Jeremy Shakouri Wydra

Orthopedic Physical Therapist · Winter Garden, FL

NPI number 1497480792 Active

Practice location

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502

Call (407) 573-3361 Map

Fax (407) 395-8309

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Physical Therapist 225100000X29148 (MD)
Orthopedic Physical Therapist Primary 2251X0800XPT39007 (FL)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1497480792

Jeremy Shakouri Wydra's National Provider Identifier is 1497480792, issued on Jul 20, 2022. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Winter Garden, FL. The record was last updated on Jun 7, 2023.