Individual
MS. TERRY M WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
616 E 13TH ST, WINAMAC, IN 46996-1117
(574) 946-2157
Mailing address
3421 W 300 S, WINAMAC, IN 46996-8355
(574) 946-3957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001957A
IN
Other
Enumeration date
02/24/2008
Last updated
02/24/2008
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