Individual
KATHLEEN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SAINT LUKE DR, LITITZ, PA 17543-2208
(717) 626-6884
(717) 625-0937
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT005495L
PA
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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