MISS Anna Carrenina Wiesbauer, PT

NPI #1053562504 in Aldie, Virginia

Provider Information

NPI Number: 1053562504
Entity Type: Individual
Name: MISS Anna Carrenina Wiesbauer, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 2, 2008
Last Updated: Oct 20, 2015

Practice Location

Address: 25062 LIND COURT
City: Aldie
State: Virginia
ZIP Code: 20105
Phone: (571) 481-0241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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