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1194151480
MARY THERESA WEAVER
DECATUR, GA
NPI
1194151480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011007)
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
-- MARY THERESA WEAVER PT
475 IRVIN CT
DECATUR, GA 30030-1717
Phone number: 404-299-1581
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Mailing Address
-- MARY THERESA WEAVER PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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