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MRS. JAMIE MARIE WIESNER OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1790919231

Individual Registrant:
MRS. JAMIE MARIE WIESNER OTR/L
Gender: F
Sole Proprietor

Location and contact information for practice:
308 MAIN ST  BRANDT, SD 57218-2010 US
Tel: 605-876-3481  Fax: --

Contact information for business:
308 MAIN ST  BRANDT, SD 57218-2010 US
Tel: 605-876-3481  Fax: --

Registration Information:
NPI: 1790919231
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
SD0588
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
MN103448

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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