Individual
STEFANIE WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 W JUBAL EARLY DR, WINCHESTER, VA 22601-6318
(540) 662-5123
Mailing address
525 QUAIL DR, WINCHESTER, VA 22602-3572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306601479
LICENSE #
VA
Enumeration date
08/30/2006
Last updated
07/08/2007
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