Individual
MRS. HEATHER CHRISTINA WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MAT, CEAS
Contact information
Practice address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(888) 735-6332
Mailing address
10205L MULBERRY LN, BRIDGEVIEW, IL 60455-6000
(708) 307-5307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003022
IL
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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