Provider Demographics
NPI:1578198008
Name:WEBER, HARMONI ECATARINA (DPT)
Entity Type:Individual
Prefix:
First Name:HARMONI
Middle Name:ECATARINA
Last Name:WEBER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 SHADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-4131
Mailing Address - Country:US
Mailing Address - Phone:714-915-4137
Mailing Address - Fax:
Practice Address - Street 1:533B KEYWAY DR
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8809
Practice Address - Country:US
Practice Address - Phone:601-420-0717
Practice Address - Fax:601-420-0957
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT6856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist