Provider Demographics
NPI:1003006073
Name:WEIBEL, CATHERINE ANN (MPT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:WEIBEL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 S OSCEOLA AVE
Mailing Address - Street 2:APT 1101
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2811
Mailing Address - Country:US
Mailing Address - Phone:772-532-5812
Mailing Address - Fax:
Practice Address - Street 1:260 S OSCEOLA AVE
Practice Address - Street 2:APT 1101
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2811
Practice Address - Country:US
Practice Address - Phone:772-532-5812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL700145192251S0007X
FL187842251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty