Individual
GARY LANE WEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 752-6581
Mailing address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 752-6581
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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