NICOLE WIENECKE

SAN ANTONIO, TX
NPI1972098176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  107845)
Enumeration Date2018-06-29
Last Update Date2018-06-29
Business Address
NICOLE WIENECKE OTR
9577 HUEBNER RD
SAN ANTONIO, TX 78240-1687
Phone number: 210-228-0030
Mailing Address
NICOLE WIENECKE OTR
6135 RANCH ROAD 2721
FREDERICKSBURG, TX 78624-5749
Phone number: 512-203-4331