Organization
PC WEISBACH, LLC
Active
Other names
Weisbach Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CODY WEISBACH (OWNER)
(720) 352-5011
Entity
Organization
Contact information
Practice address
126 BELKNAP ST, CONCORD, MA 01742-2304
(978) 254-1522
Mailing address
PO BOX 254, CONCORD, MA 01742-0254
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
17983
MA
Other
Enumeration date
10/23/2014
Last updated
02/08/2016
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