Individual
JODY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
705 S UNIVERSITY AVENUE, STE 150, BEAVER DAM, WI 53916
(920) 885-2663
(920) 885-2466
Mailing address
705 S UNIVERSITY AVENUE, STE 150, BEAVER DAM, WI 53916
(920) 885-2663
(920) 885-2466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4447
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40205900
—
WI
Enumeration date
09/27/2006
Last updated
04/03/2013
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