Basic Information
| Provider Information | |||||||||
| NPI: | 1427289644 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEISINGER | ||||||||
| FirstName: | OLIVIA | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 392 SCHERTZ PKWY | ||||||||
| Address2: | |||||||||
| City: | SCHERTZ | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781542073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106590222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1042 CENTRAL PKWY S | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782325021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104903900 | ||||||||
| FaxNumber: | 2104903911 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2009 | ||||||||
| LastUpdateDate: | 05/10/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1168656 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.