Healthcare Provider Details

I. General information

NPI: 1588773832
Provider Name (Legal Business Name): THE WESTON GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 LANCASTER PIKE
WILMINGTON DE
19807-2559
US

IV. Provider business mailing address

2222 SULLIVAN TRL
EASTON PA
18040-7958
US

V. Phone/Fax

Practice location:
  • Phone: 302-994-4434
  • Fax:
Mailing address:
  • Phone: 610-991-2034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateDE

VIII. Authorized Official

Name: RANDALL A WESTON
Title or Position: CEO
Credential:
Phone: 484-239-2963