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Individual

JOSHUA JAMES WIEGMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1055 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-3941
(504) 293-2454
(504) 558-1922
Mailing address
101 RIVER RD STE 112, JEFFERSON, LA 70121-4226
(504) 828-7696
(504) 828-8935

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
096797
LA

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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