MEDICARE: MRS. MARGANIT WEINBERG PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501019960	MI

General Provider Information

NPI Number	:	1124610548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGANIT WEINBERG PT, DPT

Provider Business Mailing Address
First Line	:	141 HAMPTON CIR
Second Line	:
City	:	ROCHESTER HLS
State	:	MI
Zip	:	48307-4103
Country	:	US
Telephone Number	:	248-853-7555
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 HAMPTON CIR
Second Line	:
City	:	ROCHESTER HLS
State	:	MI
Zip	:	48307-4103
Country	:	US
Telephone Number	:	248-853-7555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	02/08/2021

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