Individual provider · Type 1 NPI

Amanda Wieder, DPT

Pediatric Physical Therapist · Lakeland, FL

NPI number 1679162135 Active

Practice location

1215 E Orange St
Lakeland, FL 33801-5762

Call (863) 802-3800 Map

Mailing address

1737 Tarah Trace Dr
Brandon, FL 33510-2065

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT36566 (FL)

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 1679162135

Amanda Wieder, DPT's National Provider Identifier is 1679162135, issued on Jan 11, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lakeland, FL. The record was last updated on Jan 11, 2021.