Individual
AUGUSTUS JOSEPH WOESTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4 DOUGLAS RD, ELLISVILLE, MS 39437-4805
(619) 733-4593
Mailing address
4 DOUGLAS RD, ELLISVILLE, MS 39437-4805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
299456
CA
225100000X
Physical Therapist
Primary
PT7054
MS
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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