Individual
DR. JALEN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
26715 GREENFIELD RD, SOUTHFIELD, MI 48076-4717
(517) 795-8808
Mailing address
21435 SCOTIA LN, FERNDALE, MI 48220-2159
(517) 795-8808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018989
MI
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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