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MRS. JAMIE MARIE WIESNER OTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1790919231
Individual Registrant:MRS. JAMIE MARIE WIESNER OTR/L
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
308 MAIN ST BRANDT, SD 57218-2010 US
Tel: 605-876-3481 Fax: --
Tel: 605-876-3481 Fax: --
Contact information for business:
308 MAIN ST BRANDT, SD 57218-2010 US
Tel: 605-876-3481 Fax: --
Tel: 605-876-3481 Fax: --
Registration Information:
NPI: 1790919231
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | SD | 0588 |
| N | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | MN | 103448 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
