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Individual

JOAN C WIEDMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6008 BROWNSBORO PARK BLVD, SUITE C, LOUISVILLE, KY 40207-1295
(502) 899-4760
(502) 899-4719
Mailing address
9513 DABNEY CARR DR, LOUISVILLE, KY 40299-6228
(502) 267-7397

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
001085
KY

Other

Enumeration date
10/25/2011
Last updated
10/25/2011
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