Individual
HEATHER DAWN WIEDEBUSCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.P.T
Contact information
Practice address
11939 BOLTON DR, PARKER, CO 80134-3687
(303) 792-3555
Mailing address
11939 BOLTON DR, PARKER, CO 80134-3687
(303) 792-3555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7848
CO
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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