Individual
LARRY DEAN WEAVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2001 HARRISBURG PIKE, LANCASTER, PA 17601-2603
(570) 225-6566
Mailing address
2001 HARRISBURG PIKE, LANCASTER, PA 17601-2603
(570) 225-6566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002708
PA
Other
Enumeration date
04/26/2013
Last updated
08/04/2021
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