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Organization
WEAVER & ASSOCIATES INC
Active
Organization
WEAVER & ASSOCIATES INC
Active
Other names
North Hagerstown Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL L WEAVER PTA (PRESIDENT)
(301) 745-8915
Entity
Organization
Contact information
Practice address
580 NORTHERN AVE STE F, HAGERSTOWN, MD 21742-2847
(301) 745-8915
(301) 745-8916
Mailing address
580 NORTHERN AVE STE F, HAGERSTOWN, MD 21742-2847
(301) 745-8915
(301) 745-8916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21186
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412893100
—
MD
01
—
P00222631
MEDICARE RAILROAD
MD
Enumeration date
07/08/2006
Last updated
07/31/2012
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