Individual
PATRICIA MARIE WIETNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6700 ANTIOCH RD, SUITE #120, OVERLAND PARK, KS 66204-1497
(913) 652-9229
(888) 652-9198
Mailing address
6700 ANTIOCH RD, SUITE #120, OVERLAND PARK, KS 66204-1497
(913) 652-9229
(888) 652-9198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01818
KS
225200000X
Physical Therapy Assistant
2006015594
MO
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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