Doctor Name: | MS. DEBRA JEAN WEISE |
NPI Number: | 1023029972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1166 |
Business Practice Address: | 675 E Nicollet Blvd #135 Burnsville, MN - 553376700 |
Business Phone Number: | 9528922650 |
Business Fax Number: | |
Mailing Address: | 18475 Jamaica Path, LAKEVILLE |
State: | MN |
Postal Code: | 550449621 |
Phone Number: | 9528920440 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |