Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WESLEY ROLAND INNOCENT JR., LPTA
Active Sole ProprietorWESLEY ROLAND INNOCENT JR., LPTA is a Pediatric Rehabilitation Medicine healthcare provider located in WESTON, Florida. NPI 1568073823 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · WESTON, FL
Registration Details
- NPI Number
- 1568073823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2020 (5.9902141740607 yrs)
- Last Updated
- Aug 11, 2020
- License
-
PTA30120 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2685 EXECUTIVE PARK DRWESTON, FL, 333313651Browse FL providers · Browse ZIP 33331
- Phone
- 9545150892
- Fax
- 9543490896
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
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.