Nicole Weaver

NPI #1265686430 in Greenville, Pennsylvania

Provider Information

NPI Number: 1265686430
Entity Type: Individual
Name: Nicole Weaver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 13, 2008
Last Updated: Nov 13, 2008

Practice Location

Address: 101 VINE AVE
City: Greenville
State: Pennsylvania
ZIP Code: 16125-1314
Phone: (724) 588-2059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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