Individual
MARIA MCKIERNAN WUERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3013 WENTWORTH AVE, LOUISVILLE, KY 40206-2625
(502) 386-0803
Mailing address
3013 WENTWORTH AVE, LOUISVILLE, KY 40206-2625
(502) 386-0803
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A01503
KY
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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