Pamela Jo Wiederholt, DPT

NPI #1750845384 in Kaneohe, Hawaii

Provider Information

NPI Number: 1750845384
Entity Type: Individual
Name: Pamela Jo Wiederholt, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jan 28, 2019
Last Updated: Jan 28, 2019

Practice Location

Address: 45-090 NAMOKU ST
City: Kaneohe
State: Hawaii
ZIP Code: 96744-5305
Phone: (843) 906-7047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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