| NPI | 1639104524 |
|---|---|
| Other Name | FRED WEBER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-687) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: ID PT-687) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-687) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-03-16 |