Provider Demographics
NPI:1023330511
Name:WESKOB, LOUISE A (PT)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:A
Last Name:WESKOB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 WYNBROOK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061
Mailing Address - Country:US
Mailing Address - Phone:713-454-6000
Mailing Address - Fax:713-454-6084
Practice Address - Street 1:8405 WYNBROOK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061
Practice Address - Country:US
Practice Address - Phone:713-454-6000
Practice Address - Fax:713-454-6084
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173880225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist