Individual
MARIA ELENA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1333 ELM AVE, CANON CITY, CO 81212-4431
(719) 275-0550
Mailing address
823 GARFIELD ST, CANON CITY, CO 81212-4366
(719) 429-5509
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3465
CO
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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