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Individual

JULIANNE WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3614 GAP NEWPORT PIKE, WEST GROVE, PA 19390-9279
(610) 869-3632
Mailing address
3614 GAP NEWPORT PIKE, WEST GROVE, PA 19390-9279

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003192
PA

Other

Enumeration date
03/21/2013
Last updated
03/21/2013
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