PATRICIA WIESNER

O FALLON, IL
NPI1144322256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070003265)
Enumeration Date2006-09-01
Last Update Date2019-03-28
Business Address
PATRICIA WIESNER PT
1567 SINKING SPRINGS DR
O FALLON, IL 62269-6658
Phone number: 618-632-9120
Mailing Address
PATRICIA WIESNER PT
PO BOX 591
O FALLON, IL 62269-0591
Phone number: 618-632-9120