Individual
GLENN EDUARD CHRISTIANE WUYTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 SADLER WAY, FAIRBANKS, AK 99701-3175
(412) 636-2127
Mailing address
4232 LAKE TAHOE CIR, WEST PALM BEACH, FL 33409-7875
(412) 636-2127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040742
NY
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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