Individual
JEAN C WELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1315
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650024142
MEDICARE, RAILROAD
MN
Enumeration date
01/09/2006
Last updated
08/14/2015
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