Individual
COURTNEY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13804
TN
225100000X
Physical Therapist
PT015081
GA
225100000X
Physical Therapist
PTL.0016462
CO
Other
Enumeration date
08/31/2021
Last updated
08/26/2022
Update your record
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