Individual
KELLY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
892 OAK KNOLL DR, PERRYSBURG, OH 43551-2910
(800) 330-7711
Mailing address
892 OAK KNOLL DR, PERRYSBURG, OH 43551-2910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.015567
OH
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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