Individual provider · Type 1 NPI

Lisa Wiedeman, PT

Pediatric Physical Therapist · Sacramento, CA

NPI number 1346799616 Active

Practice location

2425 Stockton Blvd
Sacramento, CA 95817-2215

Call (916) 453-2240 Map

Fax (916) 453-2363

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X32466 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1346799616

Lisa Wiedeman, PT's National Provider Identifier is 1346799616, issued on Sep 28, 2016. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Sacramento, CA. The record was last updated on Sep 28, 2016.