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Miss Laurie Ann Wiese, PT
Orthopedic Physical Therapist in Fairport, New York
NPI 1073688875

Laurie Ann Wiese is a Orthopedic Physical Therapist based in Fairport, NY and is specialized in Orthopedic. Laurie Ann Wiese practices in Fairport, NY and has the professional credentials of PT. The NPI Number for Laurie Ann Wiese is 1073688875 and holds a License No. 021047 (New York).

The current practice location address for Laurie Ann Wiese is 790 Ayrault Rd, Fairport, NY and can be reached out via phone at 585-425-1018 and via fax at 585-425-8955.

Location: 790 Ayrault Rd, Fairport, NY, 14450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073688875
Provider Name
Laurie Ann Wiese
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
790 Ayrault Rd, Fairport, NY, 14450
Phone Number
585-425-1018
Fax Number
585-425-8955
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7344272 01 NY AETNA
103116FT 01 NY PREFERRED CARE
institution
Provider Business Practice Location Address Details
Address
790 Ayrault Rd
City
Fairport
State
New York
Zip
14450
Phone Number
585-425-1018
Fax Number
585-425-8955
person
Provider Business Mailing Address Details
Address
790 Ayrault Rd
City
Fairport
State
New York
Zip
14450
Phone Number
585-425-1018
Fax Number
585-425-8955
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
021047 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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