Individual
MS. ALISSA ANNE WIEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MPT, ATC
Contact information
Practice address
525 55TH ST S, BIRMINGHAM, AL 35212-3643
(510) 299-0096
Mailing address
525 55TH ST S, BIRMINGHAM, AL 35212-3643
(510) 299-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
2251X0800X
Orthopedic Physical Therapist
PTH5444
AL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
06/17/2006
Last updated
04/16/2009
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