Kara Wiedenhoeft

NPI #1164701082 in Geneseo, Illinois

Provider Information

NPI Number: 1164701082
Entity Type: Individual
Name: Kara Wiedenhoeft
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 9, 2011
Last Updated: Aug 9, 2011

Practice Location

Address: 29 MEADOWBROOK DRIVE
City: Geneseo
State: Illinois
ZIP Code: 61254
Phone: (309) 945-6891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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