| NPI | 1992078323 |
|---|---|
| Former Name | AMY M WEDEKING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 086054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2012005137) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2017-02-08 |