Individual
BRETT A WIEGREFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9110 PHILADELPHIA RD STE 314, BALTIMORE, MD 21237-4327
(410) 616-1401
(410) 686-6315
Mailing address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2012
(410) 337-8847
(410) 769-8591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21016
MD
Other
Enumeration date
10/03/2006
Last updated
05/20/2019
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