Individual
TERYN WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1590 NE 3RD ST STE B, PRINEVILLE, OR 97754-2916
(541) 416-7476
(541) 416-7478
Mailing address
805 SW INDUSTRIAL WAY STE 3, BEND, OR 97702-1093
(541) 416-7476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60781
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679012
—
OR
Enumeration date
11/10/2014
Last updated
03/26/2020
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