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MS. LUCINDA WEAVER M.P.T.
Sports >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1184862013
Individual Registrant:MS. LUCINDA WEAVER M.P.T.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
39120 OCEAN DR. GUALALA, CA 95445 US
Tel: 707-884-4800 Fax: 707-884-4808
Tel: 707-884-4800 Fax: 707-884-4808
Contact information for business:
PO BOX 1441 GUALALA, CA 95445-1441 US
Tel: 707-884-4800 Fax: 707-884-4808
Tel: 707-884-4800 Fax: 707-884-4808
Registration Information:
NPI: 1184862013
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Sports | NY | 014743-1 |
| N | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | PT20541 |
| N | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | NY | 014743-1 |
| Y | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | PT20541 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
