Individual
KRISTIN L WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11110 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6700
(301) 665-4970
Mailing address
11110 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6700
(301) 665-4970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
002598
WV
225200000X
Physical Therapy Assistant
Primary
A5254
MD
Other
Enumeration date
05/04/2021
Last updated
09/17/2021
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