Individual
CARL P WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1720 ABBEY RD STE A, EAST LANSING, MI 48823-6363
(517) 333-6692
(517) 333-6705
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003354
MI
Other
Enumeration date
04/09/2018
Last updated
04/11/2018
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