Individual
JENNA MARIE WEIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2419 S ELLIS CT, LAKEWOOD, CO 80228-4880
(714) 356-4440
Mailing address
2419 S ELLIS CT, LAKEWOOD, CO 80228-4880
(714) 356-4440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11657
CO
Other
Enumeration date
04/23/2012
Last updated
07/14/2021
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