Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLYDE CHARLES WEYANDT JR., PTA
Active Sole ProprietorCLYDE CHARLES WEYANDT JR., PTA is a Occupational Therapist healthcare provider located in POTOMAC, Maryland. NPI 1497939383 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · POTOMAC, MD
Registration Details
- NPI Number
- 1497939383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2007 (18.609890008758 yrs)
- Last Updated
- Dec 27, 2007
- License
-
TE007586 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10714 POTOMAC TENNIS LANEPOTOMAC, MD, 20854Browse MD providers · Browse ZIP 20854
- Phone
- 3012992273
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in POTOMAC, MD
| Name | Credential | NPI |
|---|---|---|
| BAMBA KOROMA | PTA | 1033340336 |
| JOSHUA LEE KENES | — | 1295501369 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.