Individual
PHILIP WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2092 W PENN PIKE, NEW RINGGOLD, PA 17960-9398
(570) 645-1515
(570) 645-1514
Mailing address
2092 W PENN PIKE, NEW RINGGOLD, PA 17960-9398
(570) 645-1515
(570) 645-1514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003499
PA
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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