Randall Scott Weideman PT

NPI 1629011143 - Physical Therapist - 225100000X

NPI Details
NPI 1629011143
Gender Male
Enumeration Date 06/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1250 RIVER PLACE BLVD
WAUKESHA WI, 53189-7752, US
Phone (262) 542-5216
Fax
Business Location
1250 RIVER PLACE BLVD
WAUKESHA WI, 53189-7752, US
Phone (262) 542-5216
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 4297-024
Remove 1629011143 NPI Number
 

According to our database, Randall Scott Weideman PT NPI is 1629011143, taxonomy code is 225100000X and license number is 4297-024, license state is located at Wisconsin. Randall Scott Weideman PT physically located at 1250 River Place Blvd, Waukesha WI, 53189-7752. NPI Number Randall Scott Weideman PT has the Individual type.

Sponsored links

1629011143 NPI number is provided on an as is basis without warranty of any kind. 1629011143 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Scott Weideman PT are for informational purposes only.