Individual
MR. BRIAN IRA WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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