Individual
NICOLE WEIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 FRANCE AVE S, SUITE 230, EDINA, MN 55435-1902
(952) 908-2700
Mailing address
6700 FRANCE AVE S, SUITE 230, EDINA, MN 55435-1902
(952) 908-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8778
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8778
LICENSE
MN
Enumeration date
07/13/2011
Last updated
06/18/2014
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