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Organization
WIEBER PHYSICAL THERAPY
Active
Organization
WIEBER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SCHULTE WIEBER (OWNER)
(507) 333-2986
Entity
Organization
Contact information
Practice address
1961 CARDINAL LN, SUITE A, FARIBAULT, MN 55021-4353
(507) 333-2986
Mailing address
1961 CARDINAL LN, SUITE A, FARIBAULT, MN 55021-4353
(507) 333-2986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5231
MN
225X00000X
Occupational Therapist
102310
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
734390600
—
MN
01
—
8B800WI
PROVIDER NUMBER
MN
Enumeration date
10/26/2006
Last updated
01/24/2017
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