Individual
ANNA KATHERINE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 SILVER CROSS DR, BROOKHAVEN, MS 39601-2388
(601) 833-2353
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2348
MS
Other
Enumeration date
04/15/2010
Last updated
06/16/2011
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