Individual
MS. ROBERTA GENE WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
1426 CHEYENNE BLVD, COLORADO SPRINGS, CO 80906-3009
(719) 471-2587
Mailing address
1426 CHEYENNE BLVD, COLORADO SPRINGS, CO 80906-3009
(719) 471-2587
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
130183
CO
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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