Individual
DANIEL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
Mailing address
4620 COUNTRY HILLS DR, TAMPA, FL 33624-1600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26415
FL
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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