Individual
MRS. KYLIE JAYDE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 FOLKEMER CIR, YORK, PA 17404-1771
(717) 650-1140
Mailing address
401 WASHINGTON AVE, EPHRATA, PA 17522-2150
(610) 463-4722
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OC015754
PA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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