JESSE LEE WIED

MONROE, LA
NPI1194712687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  02241R)
Enumeration Date2005-09-30
Last Update Date2007-10-25
Business Address
Mr. JESSE LEE WIED PT
1815 ROSELAWN AVE
MONROE, LA 71201-5433
Phone number: 318-322-7050
Mailing Address
Mr. JESSE LEE WIED PT
1815 ROSELAWN AVE
MONROE, LA 71201-5433
Phone number: 318-322-7050
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