Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA YVONNE WIESE
Active Sole ProprietorMRS. TARA YVONNE WIESE is a Physical Therapy Assistant healthcare provider located in NASSAU, New York. NPI 1871705533 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NASSAU, NY
Registration Details
- NPI Number
- 1871705533
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2007 (19.293782344175 yrs)
- Last Updated
- Jul 8, 2007
- License
-
018451-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
68 CLARKS CHAPEL RDNASSAU, NY, 121232611Browse NY providers · Browse ZIP 12123
- Phone
- 5184774484
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NASSAU, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. ERINN LYNNE SANFORD | PT | 1144433194 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.