Individual
MIRANDA WESELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 CASCADE AVE, WEST DES MOINES, IA 50266-8592
(515) 978-2395
Mailing address
4501 PLEASANT ST APT 208, WEST DES MOINES, IA 50266-5491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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