Individual
ANDREW CARL WUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13612 BIG BEND RD, VALLEY PARK, MO 63088-1447
(636) 529-8122
Mailing address
5102 OWL CT, IMPERIAL, MO 63052-1599
(314) 313-1942
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117668
MO
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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