Individual
ALYSSA WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4937 SPRING RD, VERONA, NY 13478-3526
(315) 361-5500
Mailing address
8346 NATES LN, CICERO, NY 13039-8906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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