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1972098176
NICOLE WIENECKE
SAN ANTONIO, TX
NPI
1972098176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 107845)
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
NICOLE WIENECKE OTR
9577 HUEBNER RD
SAN ANTONIO, TX 78240-1687
Phone number: 210-228-0030
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Mailing Address
NICOLE WIENECKE OTR
6135 RANCH ROAD 2721
FREDERICKSBURG, TX 78624-5749
Phone number: 512-203-4331
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