Individual
ROBERT JOSEPH WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 SUTTER ST, SAN FRANCISCO, CA 94109-5374
(415) 726-2707
Mailing address
152A FILLMORE ST, SAN FRANCISCO, CA 94117-3547
(415) 697-9339
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT21952
CA
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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