Organization
KEVIN WEAVER PT PC
Active
Other names
Academy PT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN C WEAVER (PRESIDENT)
(516) 707-8606
Entity
Organization
Contact information
Practice address
1160 5TH AVE, STE 103, NEW YORK, NY 10029-6928
(212) 426-4700
Mailing address
2453 FARMERS AVE, BELLMORE, NY 11710-3814
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0115531
NY
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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