Individual
MICHAEL WAYNE WILTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10178 BERRYWOOD CIR, SHREVEPORT, LA 71106-7692
(318) 469-4349
Mailing address
10178 BERRYWOOD CIR, SHREVEPORT, LA 71106-7692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
LA
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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