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NPI Code Detail

MEDICARE: MRS. JENNIFER SUZANNE WEISMANTLE MPT

MEDICARE: MRS. JENNIFER SUZANNE WEISMANTLE MPT
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
1225100000XPhysical TherapistPT008870LPA

General Provider Information

NPI Number : 1194012062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER SUZANNE WEISMANTLE MPT
Provider Business Mailing Address
First Line : 300 KANE BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1430
Country : US
Telephone Number : 412-429-3125
Fax Number : 412-429-3013
Provider Business Practice Location Address
First Line : 300 KANE BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1430
Country : US
Telephone Number : 412-429-3125
Fax Number : 412-429-3013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 06/29/2011

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