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1477731859
CARLY JEAN WIEDEMANN
ST PETERSBURG, FL
NPI
1477731859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL 13053)
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
-- CARLY JEAN WIEDEMANN MOT, OTR/L
801 6TH ST S
ST PETERSBURG, FL 33701-4816
Phone number: 727-898-8440
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Mailing Address
-- CARLY JEAN WIEDEMANN MOT, OTR/L
1896 TOWERING OAK DR
SARASOTA, FL 34232-6621
Phone number:
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