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Individual

JENNIFER L. WIELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
442 WEST HIGH STREET, PPG-OH/MIDWEST COMMUNITY HEALTH ASSOCIATES, INC., BRYAN, OH 43506
(419) 636-4517
(419) 636-6438
Mailing address
442 WEST HIGH STREET, PPG-OH/MIDWEST COMMUNITY HEALTH ASSOCIATES, INC., BRYAN, OH 43506
(419) 636-4517
(419) 636-6438

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA.08087
OH

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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