Provider Demographics
NPI:1649580648
Name:WEINBERG, LISA PAUL (MSPT)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:PAUL
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 DUNCAN DR
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1613
Mailing Address - Country:US
Mailing Address - Phone:215-657-0556
Mailing Address - Fax:215-657-9377
Practice Address - Street 1:319 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-1605
Practice Address - Country:US
Practice Address - Phone:215-957-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-09
Last Update Date:2010-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007972L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist