Jacqueline Wiersma, PT

NPI #1154517274 in Tempe, Arizona

Provider Information

NPI Number
1154517274
Entity Type
Individual
Name
Jacqueline Wiersma, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Sep 21, 2007
Last Updated
Sep 15, 2009

Practice Location

Address
1930 E SOUTHERN AVE
City
Tempe
State
Arizona
ZIP Code
85282-7518
Phone
(480) 456-0719

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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