Provider Demographics
NPI:1316759004
Name:WEBER, CAROL ANN (DPT, PT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:WEBER
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 JONESTOWN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-4086
Mailing Address - Country:US
Mailing Address - Phone:717-547-9100
Mailing Address - Fax:717-547-9101
Practice Address - Street 1:250 W CHOCOLATE AVE STE 3
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1568
Practice Address - Country:US
Practice Address - Phone:717-547-9100
Practice Address - Fax:717-547-9101
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist