Provider Demographics
NPI:1013169036
Name:WEIDINGER, JANET GRACE (PT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:GRACE
Last Name:WEIDINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:GRACE
Other - Last Name:CARAHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:162 DUXBURY RD
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-1505
Mailing Address - Country:US
Mailing Address - Phone:914-328-6418
Mailing Address - Fax:
Practice Address - Street 1:162 DUXBURY RD
Practice Address - Street 2:
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-1505
Practice Address - Country:US
Practice Address - Phone:914-328-6418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023285-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist