Jamie T Wiekamp DPT 36269

NPI 1639408602 - Specialist - 174400000X

NPI Details
NPI 1639408602
Gender Female
Enumeration Date 12/21/2009
Last Updated 11/12/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
141 W WILSHIRE AVE
STE C
FULLERTON CA, 92832-1858, US
Phone (530) 518-8673
Fax
Business Location
141 W WILSHIRE AVE
STE C
FULLERTON CA, 92832-1858, US
Phone (530) 518-8673
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number PT 36269
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According to our database, Dr. Jamie T Wiekamp DPT 36269 NPI is 1639408602, taxonomy code is 174400000X and license number is PT 36269, license state is located at California. Jamie T Wiekamp DPT 36269 physically located at 141 W Wilshire Ave, Fullerton CA, 92832-1858. NPI Number Jamie T Wiekamp DPT 36269 has the Individual type.

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1639408602 NPI number is provided on an as is basis without warranty of any kind. 1639408602 is maintained by the National Plan & Provider Enumeration System. The contents of Jamie T Wiekamp DPT 36269 are for informational purposes only.