Individual
CHRISTINE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 W BEECH ST, SUITE 1158, SAN DIEGO, CA 92101-2955
(619) 985-0856
Mailing address
425 W BEECH ST, SUITE 1158, SAN DIEGO, CA 92101-2955
(619) 985-0856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3364
CA
103K00000X
Behavior Analyst
3364
CA
104100000X
Social Worker
3364
CA
133V00000X
Registered Dietitian
3364
CA
221700000X
Art Therapist
3364
CA
225100000X
Physical Therapist
3364
CA
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
3364
CA
225800000X
Recreation Therapist
3364
CA
225A00000X
Music Therapist
3364
CA
225C00000X
Rehabilitation Counselor
3364
CA
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
3364
CA
235Z00000X
Speech-Language Pathologist
3364
CA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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