Mark L Weaver, PT

NPI #1801949045 in Pinedale, Wyoming

Provider Information

NPI Number: 1801949045
Entity Type: Individual
Name: Mark L Weaver, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 19, 2007
Last Updated: Nov 17, 2015

Practice Location

Address: 317 N. FALER AVE
City: Pinedale
State: Wyoming
ZIP Code: 82941
Phone: (307) 367-6236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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