Individual
JACQUELINE S WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 KLATTENHOFF LN, HUTTO, TX 78634-4638
(512) 840-7000
Mailing address
305 SILVER TRL, ROUND ROCK, TX 78664-4061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2068689
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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