MRS. Miranda Jo Wiegel, PTA
NPI #1790922110 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1790922110
- Entity Type
- Individual
- Name
- MRS. Miranda Jo Wiegel, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 8, 2009
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 41 RICKEL RD
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-1840
- Phone
- (608) 837-8529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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