| Doctor Name: | MR. CARL J. WIGHARDT |
| NPI Number: | 1972500544 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.P.T. |
| License Number: | QA08473 |
| Business Practice Address: | 679 S Main St Haverhill, MA - 018358721 |
| Business Phone Number: | 9783723211 |
| Business Fax Number: | |
| Mailing Address: | 790 Dale St, NORTH ANDOVER |
| State: | MA |
| Postal Code: | 018451420 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 02/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | QA08473 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |