Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 230500239 | VA |
N | 2251S0007X | Physical Therapist - Sports | 2305002390 | VA |
N | 2251X0800X | Physical Therapist - Orthopedic | 2305002390 | VA |
NPI | 1366423543 |
---|---|
Provider Name | Mrs. Wendy Weinberg Weil |
First Address | Mc Lean, VA 22101-4633 |
Second Address | Mc Lean, VA 22101-4633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1760527584 | NPI (01) | VA |