Individual
JEAN LYNN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2899 W STATE ROUTE 18, TIFFIN, OH 44883-8950
(419) 937-1677
Mailing address
2899 W STATE ROUTE 18, TIFFIN, OH 44883-8950
(419) 937-1677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5404
OH
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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