National Provider Identifier
Laurie Ann Wiese, PT
Laurie Ann Wiese, PT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Fairport, NY and a listed phone number of (585) 425-1018.
Profile Overview
- NPI
- 1073688875
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- November 21, 2006
- Last Updated
- July 08, 2007
Practice Location
- 790 Ayrault RD
- Fairport, NY 14450
Phone: (585) 425-1018
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1073688875
- Entity Type
- Individual
- Last Name
- Wiese
- First Name
- Laurie
- Middle Name
- Ann
- Name Prefix
- Miss
- Credential
- PT
- Mailing Street Address
- 790 Ayrault RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450
- Mailing Country
- US
- Mailing Phone
- (585) 425-1018
- Mailing Fax
- (585) 425-8955
- Practice Street Address
- 790 Ayrault RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450
- Practice Country
- US
- Practice Phone
- (585) 425-1018
- Practice Fax
- (585) 425-8955
- Enumeration Date
- November 21, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)
- Other Identifiers
- 7344272 (NY, Aetna), 103116FT (NY, Preferred Care)