Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1296357 | TX |
N | 2251P0200X | Physical Therapist - Pediatrics | 1296357 | TX |
NPI | 1013435957 |
---|---|
Provider Name | Sigourney Downs Weathers |
First Address | Carrollton, TX 75006-4324 |
Second Address | Farmers Branch, TX 75244-3214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2017 |
Last Update Date | 06/02/2022 |