Individual
MARY WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3750 PEACHTREE RD NE, ATLANTA, GA 30319-1322
(404) 365-3163
Mailing address
2747 KNELSTON OAK WAY, SUWANEE, GA 30024-7299
(678) 642-3271
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0001158
GA
Other
Enumeration date
08/14/2016
Last updated
10/18/2016
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