Gary Lane Weitman

NPI #1205431632 in Waco, Texas

Provider Information

NPI Number: 1205431632
Entity Type: Individual
Name: Gary Lane Weitman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Recreation Therapist
Enumeration Date: Dec 3, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 4800 MEMORIAL DR
City: Waco
State: Texas
ZIP Code: 76711-1329
Phone: (254) 752-6581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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