Individual
MS. SONYA KAYE TIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3501 DAKOTA AVE, SOUTH SIOUX CITY, NE 68776-3641
(402) 494-4273
Mailing address
2525 S NICOLLET ST, SIOUX CITY, IA 51106-3623
(712) 276-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1392
NE
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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