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Individual

MARCI WEISMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 456-0719
(480) 456-0163
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
40QA01224900
NJ
2251P0200X
Pediatric Physical Therapist
Primary
8799
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
492864
AZ
Enumeration date
05/07/2007
Last updated
06/04/2018
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