DAPHNE WIEBERG

JEFFERSON CITY, MO
NPI1700089836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2004015187)
Enumeration Date2007-06-06
Last Update Date2007-07-08
Business Address
-- DAPHNE WIEBERG
1030 EDMONDS ST
JEFFERSON CITY, MO 65109-5213
Phone number: 615-896-6400
Mailing Address
-- DAPHNE WIEBERG
185 GOTT PLANTATION RD
ULMAN, MO 65083-2018
Phone number: 573-280-4586
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