Doctor Name: | MARIA ELENA WEAVER |
NPI Number: | 1063739795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 3465 |
Business Practice Address: | 1333 Elm Ave Canon City, CO - 812124431 |
Business Phone Number: | 7192750550 |
Business Fax Number: | |
Mailing Address: | 823 Garfield St, CANON CITY |
State: | CO |
Postal Code: | 812124366 |
Phone Number: | 7194295509 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2010 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 3465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |