Individual
JESSICA WEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6379 BRIDGETOWN RD, CINCINNATI, OH 45248-2943
(513) 589-3202
(513) 598-4125
Mailing address
PO BOX 633187, CINCINNATI, OH 45263-0032
(513) 923-1700
(513) 741-6631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08784
STATE LICENSE #
OH
Enumeration date
01/03/2007
Last updated
07/08/2007
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