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Individual

CHRISTOPHER WEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8106
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020136
IL

Other

Enumeration date
12/22/2013
Last updated
12/22/2013
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