| Doctor Name: | MRS. JODI JACENE WEITNER |
| NPI Number: | 1184897605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | 40QA00987200 |
| Business Practice Address: | 265 Rte 46 Ste 102 Totowa, NJ - 075121820 |
| Business Phone Number: | 9736281300 |
| Business Fax Number: | |
| Mailing Address: | 70 Michael Dr, WAYNE |
| State: | NJ |
| Postal Code: | 074703464 |
| Phone Number: | 9736943264 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2008 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 40QA00987200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |