Individual
CODY SHANE WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
257 BROAD ST, MATAWAN, NJ 07747-3226
(732) 696-7060
Mailing address
257 BROAD ST, MATAWAN, NJ 07747-3226
(732) 696-7060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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