Individual
KATEY M WIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
2301 EASTERN AVE, RED OAK, IA 51566
(712) 623-7163
Mailing address
15310 WYCLIFFE DR APT 18, OMAHA, NE 68154-4333
(402) 910-0538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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