| NPI | 1861788051 |
|---|---|
| Former Name | CHRISTINA RENEE WEIDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010298) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6211) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2021-07-21 |