William L Weaver, PTA
NPI #1366073397 in Forest, Mississippi
Provider Information
- NPI Number
- 1366073397
- Entity Type
- Individual
- Name
- William L Weaver, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 339 W THIRD ST
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-4107
- Phone
- (601) 287-8007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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