Individual
SHEILA L WIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 OFFICE PARK, ODESSA, TX 79762-4843
(361) 443-6937
Mailing address
2408 FLARE CT, MIDLAND, TX 79705-4302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2024701
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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