Provider Demographics
NPI:1821294083
Name:WEIK, LOIS JEAN (CMT)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:JEAN
Last Name:WEIK
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6627 BARRETT RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-4225
Mailing Address - Country:US
Mailing Address - Phone:703-533-3367
Mailing Address - Fax:703-532-6743
Practice Address - Street 1:6627 BARRETT RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-4225
Practice Address - Country:US
Practice Address - Phone:703-533-3367
Practice Address - Fax:703-532-6743
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019003745225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist