Gavin Weber, PT, DPT, OCS, ATC

NPI #1437712460 in Brookings, South Dakota

Provider Information

NPI Number: 1437712460
Entity Type: Individual
Name: Gavin Weber, PT, DPT, OCS, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, OCS, ATC
Enumeration Date: Apr 16, 2019
Last Updated: Apr 16, 2019

Practice Location

Address: 300 22ND AVE
City: Brookings
State: South Dakota
ZIP Code: 57006-2480
Phone: (605) 696-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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