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1679162135
AMANDA WIEDER
LAKELAND, FL
NPI
1679162135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist Pediatrics
(Licence: FL PT36566)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
AMANDA WIEDER DPT
1215 E ORANGE ST
LAKELAND, FL 33801-5762
Phone number: 863-802-3800
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Mailing Address
AMANDA WIEDER DPT
1737 TARAH TRACE DR
BRANDON, FL 33510-2065
Phone number: 941-276-6678
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