Individual
TANYA WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3211 E MOORES PIKE, BLOOMINGTON, IN 47401-7129
(317) 509-4871
Mailing address
1309 AVOCA EUREKA RD, BEDFORD, IN 47421-8405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003327A
IN
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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