Individual
MRS. KATHY WEAVER HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078T6
BCBS - THROUGH EMPLOYER
NC
01
—
126G6
BCBS -PRIVATE PROVIDER
NC
05
—
3403404
—
NC
05
—
7211295
—
NC
Enumeration date
03/14/2007
Last updated
02/21/2014
Update your record
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