Jennifer L. Wieland, PTA

NPI #1063811768 in Bryan, Ohio

Provider Information

NPI Number: 1063811768
Entity Type: Individual
Name: Jennifer L. Wieland, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Aug 19, 2014
Last Updated: Aug 19, 2014

Practice Location

Address: 442 WEST HIGH STREET
Address 2: PPG-OH/MIDWEST COMMUNITY HEALTH ASSOCIATES, INC.
City: Bryan
State: Ohio
ZIP Code: 43506
Phone: (419) 636-4517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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