Individual
GARY WIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 LINDALL ST, DANVERS, MA 01923-2125
(978) 777-3740
Mailing address
90 LINDALL ST, DANVERS, MA 01923-2125
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
9029
MA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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