Individual
ANDREW JOHN WIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2000
Mailing address
935 ROUTE 522, SELINSGROVE, PA 17870-9714
(570) 372-6130
(570) 372-6138
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT008561L
PA
225100000X
Physical Therapist
Primary
PT008561L
PA
Other
Enumeration date
07/26/2022
Last updated
11/10/2022
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