Individual
MADISON WEISBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14950 S. SPRINDALE AVE, MIDDLEFIELD, OH 44062-0987
(440) 632-1007
(440) 574-7254
Mailing address
PO BOX 987, MIDDLEFIELD, OH 44062-0987
(440) 993-1004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018661
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT018661
STATE LICENSE NUMBER
OH
Enumeration date
06/19/2020
Last updated
11/27/2023
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