Individual
CONSTANCE J WIEDMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 WAINWRIGHT AVE, BURLINGTON, WI 53105-2269
(262) 763-0210
Mailing address
1013 S 96TH ST, WEST ALLIS, WI 53214-2608
(414) 322-5083
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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