Organization
LUCINDA WEAVER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA WEAVER MPT (OWNER/THERAPIST)
(707) 884-4800
Entity
Organization
Contact information
Practice address
39120 OCEAN DR, GUALALA, CA 95445
(707) 884-4800
(707) 884-4808
Mailing address
PO BOX 1441, GUALALA, CA 95445-1441
(707) 884-4800
(707) 884-4808
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
10/16/2020
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