Provider Demographics
NPI:1851593883
Name:WEINBERGER, DORIANNE (PT, CWS)
Entity Type:Individual
Prefix:
First Name:DORIANNE
Middle Name:
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:PT, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9896 W 106TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-7311
Mailing Address - Country:US
Mailing Address - Phone:303-847-6911
Mailing Address - Fax:
Practice Address - Street 1:7200 S ALTON WAY STE B110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2263
Practice Address - Country:US
Practice Address - Phone:720-489-0790
Practice Address - Fax:720-489-0848
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist