Individual
HEATHER WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
7645 WINNERS EDGE ST, RALEIGH, NC 27617-1929
(919) 423-5417
Mailing address
7645 WINNERS EDGE ST, RALEIGH, NC 27617-1929
(919) 423-5417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7351
NC
Other
Enumeration date
01/06/2010
Last updated
07/01/2011
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