Provider Demographics
NPI:1871680371
Name:WEIR, WILLIAM CHARLES JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:WEIR
Suffix:JR
Gender:M
Credentials:ATC
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Mailing Address - Street 1:910 DOGWOOD CREEK DR
Mailing Address - Street 2:APT J
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-8567
Mailing Address - Country:US
Mailing Address - Phone:866-313-5611
Mailing Address - Fax:
Practice Address - Street 1:13537 BARRETT PARKWAY DR
Practice Address - Street 2:SUITE 105
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63021-5899
Practice Address - Country:US
Practice Address - Phone:314-821-9126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2008-12-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer