Provider Demographics
NPI:1861629743
Name:WEIGER, FRANK BENJAMIN (MD LICENSE PTA)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:BENJAMIN
Last Name:WEIGER
Suffix:
Gender:M
Credentials:MD LICENSE PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 CECIL AVE S
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2111
Mailing Address - Country:US
Mailing Address - Phone:410-923-2020
Mailing Address - Fax:410-923-2028
Practice Address - Street 1:899 CECIL AVE S
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2111
Practice Address - Country:US
Practice Address - Phone:410-923-2020
Practice Address - Fax:410-923-2028
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1238225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant