Individual
MS. ABIGAIL LEIGH WIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
20 CARDINAL LN, EAST GREENWICH, RI 02818-1304
(617) 216-1575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8792
CA
Other
Enumeration date
07/03/2007
Last updated
07/11/2007
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