Doctor Name: | MRS. KATHLEEN LOUISE WIEGMAN |
NPI Number: | 1568629137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COTA/L |
License Number: | 2007016351 |
Business Practice Address: | 6768 N Us Highway 67 Florissant, MO - 630342742 |
Business Phone Number: | 3144133657 |
Business Fax Number: | |
Mailing Address: | 39 Pilot Hill Dr, SAINT PETERS |
State: | MO |
Postal Code: | 633762739 |
Phone Number: | 6369222656 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2007016351 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |