Individual
JOHN P WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6823 N IRON WOOD DR, EDWARDS, IL 61528-9420
(309) 645-2062
Mailing address
6823 N IRON WOOD DR, EDWARDS, IL 61528-9420
(309) 645-2062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007581
IL
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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