| Doctor Name: | LAURA W WIEGAN |
| NPI Number: | 1972567642 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 2305005661 |
| Business Practice Address: | 9516 Craigs Mill Dr Glen Allen, VA - 230603555 |
| Business Phone Number: | 8049656232 |
| Business Fax Number: | 8045452806 |
| Mailing Address: | 3805 Cutshaw Ave, Suite 299 RICHMOND |
| State: | VA |
| Postal Code: | 23230 |
| Phone Number: | 8043401193 |
| Fax Number: | 8043401930 |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 01/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305005661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |