Healthcare Provider Details

I. General information

NPI: 1558183103
Provider Name (Legal Business Name): ANGELA L WEISER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S RAILROAD AVE
DUNN NC
28334-4853
US

IV. Provider business mailing address

113 S RAILROAD AVE
DUNN NC
28334-4853
US

V. Phone/Fax

Practice location:
  • Phone: 910-891-1599
  • Fax:
Mailing address:
  • Phone: 910-891-1599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2639
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP23651
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: