Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT23701 | FL |
Y | 2251P0200X | Physical Therapist - Pediatrics | PT23701 | FL |
NPI | 1073793477 |
---|---|
Provider Name | Dr. Shayhan A Weir |
First Address | Tamarac, FL 33321-2710 |
Second Address | Tamarac, FL 33321-2710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2007 |
Last Update Date | 21/02/2020 |