Individual
DUANE LLOYD WIEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
3351 ROGER BROOKE DRIVE, FORT SAM HOUSTON, TX 78234-5401
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1046381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046381
P.T. LICENSE
TX
Enumeration date
04/12/2007
Last updated
04/26/2023
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