Individual
SARAH WIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11000 UNIVERSITY PKWY, PENSACOLA, FL 32514-5732
(407) 485-7983
Mailing address
3507 SCOUTOAK LOOP, OVIEDO, FL 32765-5107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
06/17/2021
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