Individual
MRS. LAURA JEAN WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 CARMANS RD, MASSAPEQUA PARK, NY 11762-1438
(516) 608-6200
Mailing address
1 CARMANS RD, MASSAPEQUA PARK, NY 11762-1438
(516) 608-6200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003102-1
NY
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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