MR. Jesse Lee Wied, PT

NPI #1194712687 in Monroe, Louisiana

Provider Information

NPI Number
1194712687
Entity Type
Individual
Name
MR. Jesse Lee Wied, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Sep 30, 2005
Last Updated
Oct 25, 2007

Practice Location

Address
1815 ROSELAWN AVE
City
Monroe
ZIP Code
71201-5433
Phone
(318) 322-7050

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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