Most Relevant Information
Provider Data
| NPI Number: | 1003522079 |
| Provider Name: | AUGUSTUS JOSEPH WOESTMAN PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 299456 |
Most Important Dates
| Enumeration Date: | 01/24/2023 |
| Last Updated: | 01/24/2023 |
Provider Practice Location
4 DOUGLAS RD
ELLISVILLE
MS
394374805
Practice Location Phone/Fax
| Phone: | 6197334593 |
| Fax: |
Provider Mailing Location
4 DOUGLAS RD
ELLISVILLE
MS
394374805
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |