Individual
JORDAN WEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 CHESTNUT LN, NORTH WALES, PA 19454-1304
(410) 667-7200
Mailing address
847 FRANKLIN DR, MANHEIM, PA 17545-9787
(484) 721-1424
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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