BRIAN CARLTON WEIDERMAN

MERIDIAN, ID
NPI1831419332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT2663)
Enumeration Date2010-06-07
Last Update Date2014-10-08
Business Address
-- BRIAN CARLTON WEIDERMAN P.T.
3645 E. OVERLAND RD.
MERIDIAN, ID 83642
Phone number: 208-888-7765
Mailing Address
-- BRIAN CARLTON WEIDERMAN P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
PORTLAND, OR 97224-7736
Phone number: 800-219-8835
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