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MS. LUCINDA WEAVER M.P.T.

Sports >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1184862013

Individual Registrant:
MS. LUCINDA  WEAVER M.P.T.
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

Contact information for business:
PO BOX 1441  GUALALA, CA 95445-1441 US
Tel: 707-884-4800  Fax: 707-884-4808

Registration Information:
NPI: 1184862013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Sports
NY014743-1
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT20541
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
NY014743-1
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT20541

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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