Individual
KELLEY MAYER WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9085 TOWN CENTER PARKWAY, BRADENTON, FL 34202
(941) 549-8844
Mailing address
1612 ORACLE DR, RUSKIN, FL 33573-6620
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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