Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clarissa M. Wynn, PTA

Individual provider Physical Therapy Assistant · NPI 1205351293

Clarissa M. Wynn, PTA is a Physical Therapy Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2627 Riverside Ave Fl 3
Jacksonville, FL 32204-4712
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA27630 (FL)

Record details

NPI number1205351293
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 10, 2017
Last updated in NPPESAugust 10, 2017

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