| NPI | 1679984470 |
|---|---|
| Professional Name | PATRICIA MARIE WIETNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01818) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2006015594) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |