# LAUREN WEAVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730514134
- **Gender:** F
- **Credential:** DPT, PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | CP053719T | SC | Yes |
| 2251X0800X | Orthopedic Physical Therapist | 011209 | GA | — |

## Other

- **Enumeration date:** 09/05/2013
- **Last updated:** 05/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GRP7913 | MEDICARE GROUP NUMBER | GA |
| 01 | — | PT011209 | LICENSE NUMBER | GA |