Denise Wiedeman, OTR

NPI #1508093642 in Rockledge, Florida

Provider Information

NPI Number: 1508093642
Entity Type: Individual
Name: Denise Wiedeman, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jun 16, 2009
Last Updated: Jun 16, 2009

Practice Location

Address: 1982 ROCKLEDGE BLVD
Address 2: SUITE 102
City: Rockledge
State: Florida
ZIP Code: 32955-3760
Phone: (321) 631-5366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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