Individual
BETH ELLEN WIEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3616 HILLSBORO RD, LOUISVILLE, KY 40207-4471
(502) 797-0422
Mailing address
3616 HILLSBORO RD, LOUISVILLE, KY 40207-4471
(502) 797-0422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001071
KY
225100000X
Physical Therapist
05001815A
IN
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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