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Individual
MR. JONATHAN MICHAEL WEINBERG
Active
Individual
MR. JONATHAN MICHAEL WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DIP. MDT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6913
STATE LICENSE
NC
05
—
7210971
—
NC
Enumeration date
12/28/2005
Last updated
07/09/2007
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