Individual
MRS. SARAH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
101 COLLEGE HL, BOX 2062, PHILIPPI, WV 26416-1500
(304) 457-6390
Mailing address
1686 BERRY RUN RD, FLEMINGTON, WV 26347
(304) 739-4851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001032
WV
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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