DR. Jake Wietholder, DPT

NPI #1326681743 in North Charleroi, Pennsylvania

Provider Information

NPI Number: 1326681743
Entity Type: Individual
Name: DR. Jake Wietholder, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 18, 2019
Last Updated: Aug 14, 2023

Practice Location

Address: 625 LINCOLN AVE STE 107
City: North Charleroi
State: Pennsylvania
ZIP Code: 15022-2451
Phone: (724) 483-4886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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