Individual
MRS. LYNNE M WEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
80 DENSLOW RD, EAST LONGMEADOW, MA 01028-3103
(413) 526-9969
(413) 526-9960
Mailing address
80 DENSLOW RD, EAST LONGMEADOW, MA 01028-3103
(413) 526-9969
(413) 526-9960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y67404
BCBS
MA
Enumeration date
12/04/2006
Last updated
07/01/2009
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