Individual
BETH WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
1025 E BROADWAY RD, SUITE 101, TEMPE, AZ 85282-1599
(480) 829-0217
Mailing address
1025 E BROADWAY RD, SUITE 101, TEMPE, AZ 85282-1599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9254
AZ
Other
Enumeration date
03/01/2011
Last updated
03/08/2016
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