Individual
MR. LEIGH JORDAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PT/DPT
Contact information
Practice address
1925 GIANTS DR, TIMEX PERFORMANCE CENTER, EAST RUTHERFORD, NJ 07073-2140
(201) 935-8111
Mailing address
224 BLOOMFIELD ST, APT. 3, HOBOKEN, NJ 07030-4759
(848) 228-0246
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QA01381100
NJ
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
984835
NATA
NJ
Enumeration date
04/04/2006
Last updated
01/20/2011
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