Individual
HEATHER LYNNE WIEDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
COVENANT SPORTS INJURY CENTER, 211 E RIDGEWAY, WATERLOO, IA 50702
(319) 272-1428
Mailing address
829 LISA DR, WATERLOO, IA 50701-5211
(319) 236-9971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03377
IA
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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