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Individual

MR. RUSSELL J WEINMAN

Active
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Individual

MR. RUSSELL J WEINMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
AT000175
OH
225100000X
Physical Therapist
Primary
PT001848
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0773462
OH
05
2101504
OH
01
34-13971587A12
ANTHEM
OH
Enumeration date
11/20/2006
Last updated
10/26/2011
About Stedi
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