Individual
MARY E WIEGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6210 CLEVES WARSAW PIKE, CINCINNATI, OH 45233-4510
(513) 941-0099
(514) 941-2666
Mailing address
6210 CLEVES WARSAW PIKE, CINCINNATI, OH 45233-4510
(513) 941-0099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05048
OH
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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