Individual
WILLIAM L WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
339 W THIRD ST, FOREST, MS 39074-4107
(601) 287-8007
(601) 287-8038
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2188
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6770
MS
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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