Individual
MS. DEBRA JEAN WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
675 E NICOLLET BLVD, #135, BURNSVILLE, MN 55337-6700
(952) 892-2650
Mailing address
18475 JAMAICA PATH, LAKEVILLE, MN 55044-9621
(952) 892-0440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1166
MN
Other
Enumeration date
08/10/2006
Last updated
01/07/2009
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