Individual
TINA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 CASCO ST, FREEPORT, ME 04033-1850
(207) 523-8550
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1332
ME
Other
Enumeration date
01/27/2023
Last updated
07/08/2025
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