Individual
VICTORIA M WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100482
MO
2255A2300X
Athletic Trainer
109562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11542783
CAQH
MO
01
—
P00416236
RAILROAD MEDICARE
MO
Enumeration date
05/17/2006
Last updated
07/15/2020
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