Individual
JACQUELINE HEISEY WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 W GRANT ST, LANCASTER, PA 17603-3728
(717) 824-7730
Mailing address
345 W GRANT ST, LANCASTER, PA 17603-3728
(717) 824-7730
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
01/07/2021
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