Individual
ANDREW JASON WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 570-5477
(414) 570-6208
Mailing address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 570-5477
(414) 570-6208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3149-19
WI
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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