Individual
LAURA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 HARRISBURG PIKE, LANCASTER, PA 17601-2632
(717) 393-1301
Mailing address
544 N PENRYN RD, MANHEIM, PA 17545-8562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007115
PA
Other
Enumeration date
02/27/2014
Last updated
05/26/2022
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