ANNA CARRENINA WIESBAUER

ALDIE, VA
NPI1053562504
Other NameANNA CARRENINA GUEVARRA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  023257)
Additional Taxonomies225100000X Physical Therapist
(Licence: NY  082377)
225100000X Physical Therapist
(Licence: VA  2305207343)
Enumeration Date2008-10-02
Last Update Date2015-10-20
Business Address
Miss ANNA CARRENINA WIESBAUER PT
25062 LIND COURT
ALDIE, VA 20105
Phone number: 571-481-0241
Mailing Address
Miss ANNA CARRENINA WIESBAUER PT
25062 LIND COURT
ALDIE, VA 20105
Phone number: 571-481-0241