Individual
KIMBERLY WIEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9500 EUCLID AVE # DESKC22, CLEVELAND, OH 44195-0001
(216) 445-8000
Mailing address
3445 BRIDGEPORT DR, NORTH OLMSTED, OH 44070-1483
(440) 503-7019
(216) 444-8548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05995
OH
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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