Individual
DR. DOUGLAS CARL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1615 S FEDERAL HWY, SUITE 300, BOCA RATON, FL 33432-7468
(866) 291-3694
Mailing address
220 MCCRACKEN RD, DANVILLE, PA 17821-9590
(570) 394-2284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1220729
TX
225100000X
Physical Therapist
Primary
3705
NH
225100000X
Physical Therapist
8953
MN
225100000X
Physical Therapist
PT 60290244
WA
Other
Enumeration date
08/09/2012
Last updated
10/23/2012
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