CHRISTIAN DOUGLAS WIESE

CAVE CREEK, AZ
NPI1225774045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  014476)
Enumeration Date2022-05-05
Last Update Date2022-05-05
Business Address
CHRISTIAN DOUGLAS WIESE
4730 E LONE MOUNTAIN RD STE 114
CAVE CREEK, AZ 85331-5539
Phone number: 480-272-7140
Mailing Address
CHRISTIAN DOUGLAS WIESE
4409 E MEADOW DR
PHOENIX, AZ 85032-9324
Phone number: 602-818-7845
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