Carissa D Weaver

NPI #1518116607 in Albion, Illinois

Provider Information

NPI Number: 1518116607
Entity Type: Individual
Name: Carissa D Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 12, 2008
Last Updated: Sep 12, 2008

Practice Location

Address: RR 3 BOX 308
City: Albion
State: Illinois
ZIP Code: 62806-9586
Phone: (618) 445-3660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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