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Individual

MRS. JODY ANNE WEIDENHAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
(717) 697-4666
Mailing address
3 FARM HOUSE LN, CAMP HILL, PA 17011-8303

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE
225200000X
Physical Therapy Assistant
Primary
TE1002109
PA

Other

Enumeration date
08/08/2020
Last updated
08/08/2020
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