Provider Demographics
NPI:1548392756
Name:WEIGHER, LESLIE MARIE (PT)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:MARIE
Last Name:WEIGHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:MARIE
Other - Last Name:VOITNOFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:409 S 2ND ST
Mailing Address - Street 2:STE 3F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:717-230-3433
Mailing Address - Fax:717-230-3460
Practice Address - Street 1:4300 LONDONDERRY RD
Practice Address - Street 2:NEUROSCIENCE REHAB CENTER STE 2F
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5317
Practice Address - Country:US
Practice Address - Phone:717-657-7520
Practice Address - Fax:717-657-7505
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014245225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT014245OtherPT LICENSE