Provider Demographics
NPI:1437309390
Name:WEINSTEIN, MARIE ARLENE (RPT)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ARLENE
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 SOUTH CREEK DR.
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:16580
Mailing Address - Country:US
Mailing Address - Phone:585-872-9057
Mailing Address - Fax:
Practice Address - Street 1:6884 MAPLE AVE.
Practice Address - Street 2:BLOSSOM VIEW OUTPATIENT REHABILITATION CENTER
Practice Address - City:SODUS
Practice Address - State:NY
Practice Address - Zip Code:14551
Practice Address - Country:US
Practice Address - Phone:315-483-2000
Practice Address - Fax:315-483-9432
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist