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1346799616
LISA WIEDEMAN
SACRAMENTO, CA
NPI
1346799616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 32466)
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
-- LISA WIEDEMAN PT
2425 STOCKTON BLVD
SACRAMENTO, CA 95817-2215
Phone number: 916-453-2240
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Mailing Address
-- LISA WIEDEMAN PT
2425 STOCKTON BLVD
SACRAMENTO, CA 95817-2215
Phone number: 916-453-2240
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