Doctor Name: | JODY WEBER |
NPI Number: | 1124119375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 4447 |
Business Practice Address: | 705 S University Avenue Ste 150 Beaver Dam, WI - 53916 |
Business Phone Number: | 9208852663 |
Business Fax Number: | 9208852466 |
Mailing Address: | 705 S University Avenue, Ste 150 BEAVER DAM |
State: | WI |
Postal Code: | 53916 |
Phone Number: | 9208852663 |
Fax Number: | 9208852466 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |