Individual
BARRY WIMBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1240 PINEBROOK RD, VENICE, FL 34285-6421
(941) 488-6733
Mailing address
112 LA PALMA CT, VENICE, FL 34292-7402
(941) 539-3706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19216
FL
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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