MOLLY WIETFELDT

FORT WAYNE, IN
NPI1003168436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002681A)
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
-- MOLLY WIETFELDT
4111 PARK PLACE DR
FORT WAYNE, IN 46845-6002
Phone number: 260-373-2111
Mailing Address
-- MOLLY WIETFELDT
4111 PARK PLACE DR
FORT WAYNE, IN 46845-6002
Phone number: 260-373-2111
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