KONRAD WIESE

VALPARAISO, IN
NPI1376412734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06007026A)
Enumeration Date2025-11-03
Last Update Date2025-11-03
Business Address
KONRAD WIESE PTA
3538 CALUMET AVE
VALPARAISO, IN 46383-2246
Phone number: 219-316-7470
Mailing Address
KONRAD WIESE PTA
23 PAISLEY GRN
VALPARAISO, IN 46385-9277
Phone number: 219-263-9391
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