Provider Demographics
NPI:1285460675
Name:WEYHRAUCH, ROBERT J JR (DPT)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:WEYHRAUCH
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:61 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10464-1517
Mailing Address - Country:US
Mailing Address - Phone:917-214-5721
Mailing Address - Fax:
Practice Address - Street 1:50 GLEN COVE RD
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1062
Practice Address - Country:US
Practice Address - Phone:516-626-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist