Patricia Wiesner, PT Valid NPI

Individual provider · Physical Therapist · O Fallon, IL

NPI

1144322256

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

070003265 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-09-01

Last updated

2019-03-28