Individual
DIANE WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 8TH AVE SE, DECATUR, AL 35601-3962
(931) 380-8993
Mailing address
1010 8TH AVE SE, DECATUR, AL 35601-3962
(931) 380-8993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4733
AL
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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