Individual
LODINA MARLENE WEINGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 EDISON ST, BRUSH, CO 80723-1609
(970) 842-2825
Mailing address
2200 EDISON ST, BRUSH, CO 80723-1609
(970) 842-2825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013381
CO
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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