Individual
REBECCA WIETECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
4230 LANCELOT RD, TOLEDO, OH 43623-2520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019106
OH
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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