Individual
LINDA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 DOVE CT, ROSWELL, GA 30075-4393
(678) 907-3867
Mailing address
165 DOVE CT, ROSWELL, GA 30075-4393
(678) 907-3867
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT007265
GA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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