Individual
TRAVIS WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12648 POWAY RD, POWAY, CA 92064-4416
(858) 375-9680
Mailing address
12648 POWAY RD, POWAY, CA 92064-4416
(858) 375-9680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52757
CA
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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