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1568046100
JUSTIN RYAN WIECH
LOUISVILLE, KY
NPI
1568046100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY TP2021018)
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
Dr. JUSTIN RYAN WIECH PT, DPT
3509 S HURSTBOURNE PKWY
LOUISVILLE, KY 40299-1364
Phone number: 502-537-7070
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Mailing Address
Dr. JUSTIN RYAN WIECH PT, DPT
7414 SUNSET LN
CRESTWOOD, KY 40014-8924
Phone number: 502-689-9996
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