Individual
LAURA WEISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
465 N PARK 40 BLVD, KNOXVILLE, TN 37923-3615
(865) 357-5088
(656) 913-6178
Mailing address
465 N PARK 40 BLVD, KNOXVILLE, TN 37923-3615
(865) 357-5088
(656) 913-6178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103L656569
—
TN
Enumeration date
05/16/2006
Last updated
05/05/2021
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