DAPHNE WIEBERG

Physical Therapy Assistant

Active Individual
NPI: 1700089836

Practice Address

1030 EDMONDS ST
Jefferson City, MO 65109

Phone: (615) 896-6400

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 2004015187 (MO)

Frequently Asked Questions

NPI 1700089836 is the National Provider Identifier for DAPHNE WIEBERG, a Physical Therapy Assistant provider located in Jefferson City, MO. This NPI was enumerated on June 6, 2007.
DAPHNE WIEBERG practices at 1030 EDMONDS ST, Jefferson City, MO 65109.

Quick Facts

NPI
1700089836
Type
Individual
Enumerated
Jun 6, 2007
Last Updated
Jul 8, 2007

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