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Individual

ROBERT CHARLES WEIST III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4950 E STOP 11 RD STE B, INDIANAPOLIS, IN 46237-9104
(317) 859-5857
Mailing address
741 PORTA ROSA CIR, ST AUGUSTINE, FL 32092-0476
(985) 264-0325

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05013223A
IN
225100000X
Physical Therapist
2305212942
VA
225100000X
Physical Therapist
P18696
NC
225100000X
Physical Therapist
Primary

Other

Enumeration date
11/14/2018
Last updated
11/25/2019
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