Doctor Name: | MR. PAUL J. WIESNER |
NPI Number: | 1134453467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 1334c Vidovich Ave Saint Helena, CA - 945742029 |
Business Phone Number: | 7072874437 |
Business Fax Number: | 7072865506 |
Mailing Address: | 1334c Vidovich Ave, SAINT HELENA |
State: | CA |
Postal Code: | 945742029 |
Phone Number: | 7072874437 |
Fax Number: | 7072865506 |
NPI Enumeration Date: | 09/18/2009 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |