Individual
NOLAN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1426 FRANKFORD AVE, PHILADELPHIA, PA 19125-4410
(215) 427-6024
Mailing address
4826 SILVERWOOD ST, PHILADELPHIA, PA 19128-4544
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT028404
PA
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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