Individual
MS. DORIS ELISABETH WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15825 JOHN J DELANEY DR, CHARLOTTE, NC 28277-3146
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9186
NC
Other
Enumeration date
10/19/2006
Last updated
05/13/2010
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