Individual provider · Type 1 NPI

Jamie T. Wiekamp, DPT 36269

Specialist · Fullerton, CA

NPI number 1639408602 Active

Practice location

141 W Wilshire Ave, Ste C
Fullerton, CA 92832-1858

Call (530) 518-8673 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT 36269 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639408602

Jamie T. Wiekamp, DPT 36269's National Provider Identifier is 1639408602, issued on Dec 21, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fullerton, CA. The record was last updated on Nov 12, 2014.