Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 70014519 | IL |
N | 2251X0800X | Physical Therapist - Orthopedic | 18784 | FL |
NPI | 1003006073 |
---|---|
Provider Name | Ms. Catherine Ann Weibel |
First Address | Orlando, FL 32801-2811 |
Second Address | Orlando, FL 32801-2811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 23/12/2008 |