AMANDA WIEDER

LAKELAND, FL
NPI1679162135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: FL  PT36566)
Enumeration Date2021-01-11
Last Update Date2021-01-11
Business Address
AMANDA WIEDER DPT
1215 E ORANGE ST
LAKELAND, FL 33801-5762
Phone number: 863-802-3800
Mailing Address
AMANDA WIEDER DPT
1737 TARAH TRACE DR
BRANDON, FL 33510-2065
Phone number: 941-276-6678
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