MRS. Elizabeth Anne Weathers, PTA

NPI #1083990667 in Sullivan, Indiana

Provider Information

NPI Number: 1083990667
Entity Type: Individual
Name: MRS. Elizabeth Anne Weathers, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: PTA
Enumeration Date: Oct 27, 2011
Last Updated: Oct 27, 2011

Practice Location

Address: 102 N COUNTY ROAD 800 E
City: Sullivan
State: Indiana
ZIP Code: 47882-7402
Phone: (812) 648-2455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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