Individual
GREGORY WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2124 4TH AVE S, BIRMINGHAM, AL 35233-2204
(205) 945-8185
(205) 945-8278
Mailing address
179 VENETIAN WAY, HOMEWOOD, AL 35209-6949
(205) 527-7067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4108
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-10350
BCBS
AL
01
—
94549
UPIN
—
Enumeration date
10/23/2006
Last updated
04/06/2008
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