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Individual

MR. JONATHAN MICHAEL WEINBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DIP. MDT

Contact information

Practice address
110 MAIN ST, OXFORD, NC 27565-3319
(919) 603-5400
(919) 603-5404
Mailing address
PO BOX 1370, OXFORD, NC 27565-1370
(919) 603-5400
(919) 603-5404

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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