Diane Marie Weaver, PT

NPI #1215107776 in Bloomington, Illinois

Provider Information

NPI Number: 1215107776
Entity Type: Individual
Name: Diane Marie Weaver, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 11, 2008
Last Updated: Dec 31, 2024

Practice Location

Address: 1111 TRINITY LN STE 111
City: Bloomington
State: Illinois
ZIP Code: 61704-8112
Phone: (309) 608-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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