Miss Laurie Ann Wiese
Physical Therapist - Orthopedic
790 Ayrault Rd
Fairport
, New York 14450
Miss Laurie Ann Wiese
Physical Therapist - Orthopedic
790 Ayrault Rd
Fairport
, New York 14450
(585) 425-8955
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Miss Laurie Ann Wiese
- 790 Ayrault Rd
- Fairport, NY
- Zip : 14450
- Fax : (585) 425-8955
- Phone : (585) 425-1018
Second Address
- Miss Laurie Ann Wiese
- 790 Ayrault Rd
- Fairport, NY
- Zip : 14450
- Fax : (585) 425-8955
- Phone : (585) 425-1018
Reviews
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What type of doctor is Miss Laurie Ann Wiese
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Where is Miss Laurie Ann Wiese ’s practice located?
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Is Miss Laurie Ann Wiese a sole practitioner?
Is Miss Laurie Ann Wiese accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 021047 | NY |
National Provider Identifier
| NPI | 1073688875 |
|---|---|
| Provider Name | Miss Laurie Ann Wiese |
| First Address | Fairport, NY 14450 |
| Second Address | Fairport, NY 14450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103116FT | PREFERRED CARE (01) | NY |
| 7344272 | AETNA (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.