Individual
ELISA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 LIVELY STREAM WAY, BUILDING 254, GETTYSBURG, PA 17325-6021
(717) 337-4515
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTO19981
PA LICENSE
PA
Enumeration date
03/31/2020
Last updated
11/05/2025
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