Individual
MS. ERIN KATHLEEN WIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, DPT
Contact information
Practice address
731 LACEY RD, FORKED RIVER, NJ 08731-1364
(609) 242-6750
(609) 242-6783
Mailing address
4175 VETERANS MEMORIAL HWY, SUITE 202, RONKONKOMA, NY 11779-7639
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01431800
NJ
2251X0800X
Orthopedic Physical Therapist
16859
MA
Other
Enumeration date
04/08/2009
Last updated
05/13/2014
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