Most Relevant Information
Provider Data
| NPI Number: | 1003651274 |
| Provider Name: | MARY WEAVER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT032361 |
Most Important Dates
| Enumeration Date: | 06/28/2024 |
| Last Updated: | 06/28/2024 |
Provider Practice Location
840 HELEN DR STE 200
LEBANON
PA
170427456
Practice Location Phone/Fax
| Phone: | 7172705465 |
| Fax: |
Provider Mailing Location
1200 CORPORATE DR STE 400
HOOVER
AL
352425424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |