Individual
SEAN GREGORY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15600 SAN PEDRO AVE STE 307, SAN ANTONIO, TX 78232-3739
(210) 494-2343
Mailing address
146 COUNTY ROAD 5720, CASTROVILLE, TX 78009-2104
(830) 931-3961
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2031490
TX
Other
Enumeration date
03/15/2007
Last updated
04/09/2008
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