Individual
MRS. SHARON ANN WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4220 WEATHERSTONE RD, CRYSTAL LAKE, IL 60014-4521
(815) 356-5176
(815) 356-5190
Mailing address
4220 WEATHERSTONE RD, CRYSTAL LAKE, IL 60014-4521
(815) 356-5176
(815) 356-5190
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
IL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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