Molly Wietfeldt
Physical Therapy Assistant
4111 Park Place Dr
Fort Wayne
, Indiana 46845-6002
Molly Wietfeldt
Physical Therapy Assistant
4111 Park Place Dr
Fort Wayne
, Indiana 46845-6002
(260) 373-2111
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Molly Wietfeldt
- 4111 Park Place Dr
- Fort Wayne, IN
- Zip : 46845-6002
- Phone : (260) 373-2111
Second Address
- Molly Wietfeldt
- 4111 Park Place Dr
- Fort Wayne, IN
- Zip : 46845-6002
- Phone : (260) 373-2111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 06002681A | IN |
National Provider Identifier
| NPI | 1003168436 |
|---|---|
| Provider Name | Molly Wietfeldt |
| First Address | Fort Wayne, IN 46845-6002 |
| Second Address | Fort Wayne, IN 46845-6002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
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.