Doctor Name: | MR. RANDY BRYAN WIEMER |
NPI Number: | 1851350805 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT7244 |
Business Practice Address: | 3488 E Lake Rd Suite 301 Palm Harbor, FL - 346852404 |
Business Phone Number: | 7277717377 |
Business Fax Number: | |
Mailing Address: | 4326 Oklawaha Ln, NEW PORT RICHEY |
State: | FL |
Postal Code: | 346551634 |
Phone Number: | 7273723437 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT7244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |