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Lisa Wiedeman, PT
Pediatric Physical Therapist in Sacramento, California
NPI 1346799616

Lisa Wiedeman is a Pediatric Physical Therapist based in Sacramento, CA and is specialized in Pediatrics. Lisa Wiedeman practices in Sacramento, CA and has the professional credentials of PT. The NPI Number for Lisa Wiedeman is 1346799616 and holds a License No. 32466 (California).

The current practice location address for Lisa Wiedeman is 2425 Stockton Blvd, Sacramento, CA and can be reached out via phone at 916-453-2240 and via fax at 916-453-2363. You can also correspond with Lisa Wiedeman through the mailing address at 2425 STOCKTON BLVD, SACRAMENTO, CA - 95817-2215 (mailing address contact number: 916-453-2240).

Location: 2425 Stockton Blvd, Sacramento, CA, 95817-2215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346799616
Provider Name
Lisa Wiedeman
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2425 Stockton Blvd, Sacramento, CA, 95817-2215
Phone Number
916-453-2240
Fax Number
916-453-2363
Provider Enumeration Date
09/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2425 Stockton Blvd
City
Sacramento
State
California
Zip
95817-2215
Phone Number
916-453-2240
Fax Number
916-453-2363
person
Provider Business Mailing Address Details
Address
2425 Stockton Blvd
City
Sacramento
State
California
Zip
95817-2215
Phone Number
916-453-2240
Fax Number
916-453-2363
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
32466 (California)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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