Terry M Weaver PTA

NPI 1053580076 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1053580076
Gender Female
Enumeration Date 02/24/2008
Last Updated 02/24/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
616 E 13TH ST
WINAMAC IN, 46996-1117, US
Phone (574) 946-2157
Business Location
3421 W 300 S
WINAMAC IN, 46996-8355, US
Phone (574) 946-3957
Taxonomy Code 225200000X
License State Indiana
License Number 06001957A
Remove 1053580076 NPI Number

According to our database, Ms. Terry M Weaver PTA NPI is 1053580076, taxonomy code is 225200000X and license number is 06001957A, license state is located at Indiana. Terry M Weaver PTA physically located at 616 E 13th St, Winamac IN, 46996-1117. NPI Number Terry M Weaver PTA has the Individual type.

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1053580076 NPI number is provided on an as is basis without warranty of any kind. 1053580076 is maintained by the National Plan & Provider Enumeration System. The contents of Terry M Weaver PTA are for informational purposes only.