Individual
KATHRYN WIEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
505 WILLARD AVE STE 1D, NEWINGTON, CT 06111-2630
(860) 665-8265
(860) 665-8310
Mailing address
505 WILLARD AVE STE 1D, NEWINGTON, CT 06111-2630
(860) 665-8265
(860) 665-8310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10228
CT
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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