Individual
KAREN LISA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1732 DAVIDSON AVE, BRONX, NY 10453
(718) 299-6892
Mailing address
1732 DAVIDSON AVE, BRONX, NY 10453
(718) 299-6892
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
016570
NY
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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