Individual
PAMELA T WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7250 FRANCE AVE S, SUITE 305, EDINA, MN 55435-4305
(952) 285-2840
(952) 285-2830
Mailing address
14357 RAVEN ST NW, ANDOVER, MN 55304-3362
(312) 371-8393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9197
MN
2251P0200X
Pediatric Physical Therapist
070.010791
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992821052
—
MN
Enumeration date
03/21/2007
Last updated
10/15/2012
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