Doctor Name: | MR. LEIGH JORDAN WEISS |
NPI Number: | 1144282252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC, PT/DPT |
License Number: | 40QA01381100 |
Business Practice Address: | 1925 Giants Dr Timex Performance Center East Rutherford, NJ - 070732140 |
Business Phone Number: | 2019358111 |
Business Fax Number: | |
Mailing Address: | 224 Bloomfield St, Apt. 3 HOBOKEN |
State: | NJ |
Postal Code: | 070304759 |
Phone Number: | 8482280246 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 40QA01381100 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |