Individual
KENNI DANIELLE WIESKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41810 N VENTURE DR UNIT C120, ANTHEM, AZ 85086-3172
(623) 212-1000
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(480) 937-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-010109
AZ
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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