Individual
JOSHUA DAVID WEAVER
Active
Individual
JOSHUA DAVID WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501014153
MI
225100000X
Physical Therapist
Primary
PT60051171
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0329317
WA L&I
WA
05
—
1710131032
—
WA
05
—
2006102
—
WA
01
—
5501014153
MI LICENSE
MI
Enumeration date
11/13/2008
Last updated
02/05/2016
Update your record
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