Provider Demographics
NPI:1427247162
Name:WEKSLER, DEBORA (MT)
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:
Last Name:WEKSLER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 LENAWEE LOOP
Mailing Address - Street 2:203
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-6730
Mailing Address - Country:US
Mailing Address - Phone:727-236-9389
Mailing Address - Fax:
Practice Address - Street 1:9400 RIVER CROSSING BLVD
Practice Address - Street 2:101
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-6033
Practice Address - Country:US
Practice Address - Phone:737-376-7955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 43724172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist