Individual
WILBERT JOHN WISE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
931 S 3RD ST, LOUISVILLE, KY 40203-2215
(502) 561-6431
(502) 561-6432
Mailing address
982 BRECKENRIDGE LN, LOUISVILLE, KY 40207-4619
(502) 708-2942
(502) 708-2942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006685
KY
Other
Enumeration date
05/29/2015
Last updated
10/26/2015
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