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Individual

LISA M WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3301 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2014
(727) 785-8335
Mailing address
724 BARBARA ST, PALM HARBOR, FL 34684-4604
(727) 642-6670

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19228
FL

Other

Enumeration date
09/28/2017
Last updated
05/28/2025
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