Theresa Wiederoder, DPT

NPI #1821341181 in Kalaheo, Hawaii

Provider Information

NPI Number
1821341181
Entity Type
Individual
Name
Theresa Wiederoder, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Oct 23, 2012
Last Updated
Oct 23, 2012

Practice Location

Address
1178 PUA MELIA ST
State
Hawaii
ZIP Code
96741
Phone
(989) 859-2222

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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