Individual
DANIELLE WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
785 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 781-0529
Mailing address
109 SUNRISE RD, SAINT MARYS, PA 15857-3034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007899
PA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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