Provider Demographics
NPI:1619331485
Name:WEISS, MEREDITH COHEN (PT, MPT, NCPT, ERYT)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:COHEN
Last Name:WEISS
Suffix:
Gender:F
Credentials:PT, MPT, NCPT, ERYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E BOCA RATON RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-3912
Mailing Address - Country:US
Mailing Address - Phone:561-878-8007
Mailing Address - Fax:561-570-8080
Practice Address - Street 1:122 E BOCA RATON RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3912
Practice Address - Country:US
Practice Address - Phone:561-878-8007
Practice Address - Fax:561-570-8080
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2023-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist