Dr TRENT W WIERICK is a male medical professional, specializing in Physical Therapy. He graduated in 2005.
THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER
727 AMERICAN WAY
SUITE 2
SHREVEPORT
LA
711066117
Tel: 3188410696
| Npi | 1932122330 |
| Pac Id | 6800027434 |
| Professional Enrollment Id | I20140325001653 |
| Last Name | WIERICK |
| First Name | TRENT |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER |
| Group Practice Pac Id | 5496801334 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 727 AMERICAN WAY |
| Line 2 Street Address | SUITE 2 |
| Marker Of Address Line 2 Suppression | |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 711066117 |
| Phone Number | 3188410696 |
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| Professional Accepts Medicare Assignment | Y |
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