Individual
JOSHUA WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 MONUMENT RD, YORK, PA 17403-5060
(717) 812-5870
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEI003512
PA LICENSE
PA
Enumeration date
04/08/2020
Last updated
04/08/2020
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