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Dr. Jamie T Wiekamp, DPT36269
Specialist in Fullerton, California
NPI 1639408602

Jamie T Wiekamp is a Specialist based in Fullerton, CA. Jamie T Wiekamp practices in Fullerton, CA and has the professional credentials of DPT36269. The NPI Number for Jamie T Wiekamp is 1639408602 and holds a License No. PT 36269 (California).

The current practice location address for Jamie T Wiekamp is 141 W Wilshire Ave, Fullerton, CA and can be reached out via phone at 530-518-8673.

Location: 141 W Wilshire Ave, Fullerton, CA, 92832-1858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639408602
Provider Name
Jamie T Wiekamp
Credential
DPT36269
Provider Entity Type
Individual
Gender
Female
Address
141 W Wilshire Ave, Fullerton, CA, 92832-1858
Phone Number
530-518-8673
Fax Number
Provider Enumeration Date
12/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT36269 01 CA PHYSICAL THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
141 W Wilshire Ave
City
Fullerton
State
California
Zip
92832-1858
Phone Number
530-518-8673
Fax Number
person
Provider Business Mailing Address Details
Address
141 W Wilshire Ave
City
Fullerton
State
California
Zip
92832-1858
Phone Number
530-518-8673
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT 36269 (California)
Definition
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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