Individual
MS. JEANIE MARIE WIERTZEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5206 W VILLAGE PKWY STE 6, ROGERS, AR 72758-8137
(479) 936-2978
Mailing address
16025 HICKORY DR, ROGERS, AR 72756-6358
(417) 844-2560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3945
AR
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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