Organization
JESSE L WIED PT PHYSICAL THERAPY CLINIC INC
Active
Other names
Wied Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA CAGE WIED (SECRETARY TREASURER)
(318) 322-7050
Entity
Organization
Contact information
Practice address
1901 ROSELAWN AVE SUITE A, MONROE, LA 71201
(318) 322-7050
(318) 322-7031
Mailing address
PO BOX 14151, MONROE, LA 71207-4151
(318) 322-7050
(318) 322-7031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
07/29/2015
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