| NPI | 1811413644 |
|---|---|
| Former Name | CHELSEA RENEE WEEDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293511) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 293511) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-12-22 |