Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tara Yvonne Wiese

Individual provider Physical Therapist · NPI 1871705533

Mrs. Tara Yvonne Wiese is a Physical Therapist in Nassau, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

68 Clarks Chapel Rd
Nassau, NY 12123-2611
Phone: (518) 477-4484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 018451-1 (NY)

Record details

NPI number1871705533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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