Individual
MRS. JEANNETTE ROSE WIATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
28933 WOODWARD AVE, BERKLEY, MI 48072-0923
(248) 414-7592
(248) 414-7661
Mailing address
28933 WOODWARD AVE, BERKLEY, MI 48072-0923
(248) 414-7592
(248) 414-7661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015468
MI
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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