IndividualActive
Amanda Wieder, DPT
NPI 1679162135 · Pediatric Physical Therapist · Lakeland, FL
Provider details
- NPI number
- 1679162135
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT36566 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1215 E Orange St
Lakeland, FL 33801-5762
Phone: (863) 802-3800
Approximate (ZIP-level) locationGet directions
Mailing address
1737 Tarah Trace Dr
Brandon, FL 33510-2065
Registry dates
- Enumerated
- 2021-01-11
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.