Individual
KATHRYN M WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC LAT
Contact information
Practice address
108 1/2 BELLEFONTE AVE, LOCK HAVEN, PA 17745-1914
(570) 772-8041
Mailing address
108 1/2 BELLEFONTE AVE, LOCK HAVEN, PA 17745-1914
(570) 772-8041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005648
PA
Other
Enumeration date
07/12/2014
Last updated
07/12/2014
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