Individual
MRS. DARLA JOAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1414 S ELM ST, PARIS, AR 72855-4924
(479) 963-6151
(479) 963-3331
Mailing address
227 DUBBS WAY, BOONEVILLE, AR 72927-7849
(479) 675-2898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT1447
AR
2251P0200X
Pediatric Physical Therapist
Primary
PT1447
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128029721
—
AR
Enumeration date
04/24/2007
Last updated
07/10/2009
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