Individual
MR. BRIAN E WEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
960 S. RAPIDS RD., MANITOWOC, WI 54220
(920) 684-1144
Mailing address
960 S. RAPIDS RD., MANITOWOC, WI 54220
(920) 684-1144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089-19
—
Other
Enumeration date
09/01/2013
Last updated
09/01/2013
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