Individual
MR. BRIAN IRA WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
801 TOLL HOUSE AVE STE H3, FREDERICK, MD 21701-6117
(240) 575-9380
Mailing address
200 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1230
(410) 833-3025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18749
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7446385
AETNA
MD
Enumeration date
08/01/2006
Last updated
09/29/2016
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