Doctor Name: | STEPHANIE COLLEEN WIEGAND |
NPI Number: | 1932548229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2818 |
Business Practice Address: | 3870 W Ann Rd Suite 110 North Las Vegas, NV - 890314411 |
Business Phone Number: | 7023967100 |
Business Fax Number: | 7023969100 |
Mailing Address: | 3831 W Charleston Blvd, LAS VEGAS |
State: | NV |
Postal Code: | 891021859 |
Phone Number: | 7028761733 |
Fax Number: | 7028782018 |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
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 |