NPI | 1922644673 |
---|---|
Other Name | CHRIS WEIDNER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027085) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-11-18 |
Last Update Date | 2024-01-30 |