Individual
KAYLA MARIE THOMPSON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5492 N RONALD REAGAN PKWY STE 180, BROWNSBURG, IN 46112-5618
(317) 858-9400
Mailing address
560 GIPPER WAY W APT K, AVON, IN 46123-0145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012490A
IN
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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