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Individual
MICHAEL R WIMBERLY II
Active
Individual
MICHAEL R WIMBERLY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT04879
LA
225100000X
Physical Therapist
PT3657
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04220001
—
MS
05
—
2318781
—
LA
Enumeration date
01/15/2007
Last updated
10/08/2025
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