Individual
LYDIA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2815 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2656
(715) 723-9341
Mailing address
516 2ND AVE E, DURAND, WI 54736-1409
(217) 521-6535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4296-19
WI
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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