Individual
MEGAN L WIEDENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5002 E CENTRAL AVE STE B, WICHITA, KS 67208-4167
(913) 439-7279
Mailing address
15915 E BOXTHORN ST, WICHITA, KS 67228-8118
(913) 439-7279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03832
KS
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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