Doctor Name: | BRENT WEBER |
NPI Number: | 1043462302 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 1502 |
Business Practice Address: | 2004 Twin City Dr Mandan, ND - 585543820 |
Business Phone Number: | 7016670745 |
Business Fax Number: | 7016670707 |
Mailing Address: | 405 N Broadway St, LINTON |
State: | ND |
Postal Code: | 585527024 |
Phone Number: | 7013212150 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2008 |
NPI Last Update Date: | 10/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
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 |