Individual
JULIE M. WEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3715 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-2080
(505) 462-6050
(505) 462-6055
Mailing address
724 RIO RUIDOSO RD NE, RIO RANCHO, NM 87144-6488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3446
NM
Other
Enumeration date
12/20/2006
Last updated
01/17/2012
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