Individual
JESSICA WEICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
3710 HONEYSUCKLE LN, TEXARKANA, TX 75503-2231
(804) 436-5961
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38170
FL
Other
Enumeration date
03/25/2022
Last updated
08/01/2024
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