Individual
SANDRA HARRISON-WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MHE, OTR/L, CHT
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040A FITZSIMMONS DRIVE MCHJ-PMO, TACOMA, WA 98431-5000
(253) 968-2330
Mailing address
12001 181ST ST E, PUYALLUP, WA 98374-9161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R2012
KY
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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