William L Weaver, PTA
Physical Therapy Assistant in Forest, MS. Individual provider (NPI-1).
NPI number1366073397
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1366073397
- Entity type
- Individual (NPI-1)
- Name
- William L Weaver
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA6770 | MS | Yes |
Practice location
339 W Third StForest, MS 39074-4107
Phone 601-287-8007 · Fax 601-287-8038
Mailing address
8205 Presidents DrHummelstown, PA 17036-8621
Phone 717-839-2188 · Fax 717-565-1104
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