Robert C Wiederien
Physical Therapist - Sports
500 Newton Rd 1-256 Medical Education Building
Iowa City
, Iowa 52242-5224
Robert C Wiederien
Physical Therapist - Sports
500 Newton Rd 1-256 Medical Education Building
Iowa City
, Iowa 52242-5224
(808) 295-3309
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Robert C Wiederien
- 34 Chad Ct
- Coralville, IA
- Zip : 52241-3228
- Phone : (808) 295-3309
Second Address
- Robert C Wiederien
- 500 Newton Rd 1-256 Medical Education Building
- Iowa City, IA
- Zip : 52242-5224
- Phone : (808) 295-3309
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | IA |
National Provider Identifier
| NPI | 1497741896 |
|---|---|
| Provider Name | Robert C Wiederien |
| First Address | Coralville, IA 52241-3228 |
| Second Address | Iowa City, IA 52242-5224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2005 |
| Last Update Date | 07/07/2020 |
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.