| NPI | 1235350083 |
|---|---|
| Former Name | AMBER O'NEAL WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042356) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870726) |
| 225100000X Physical Therapist (Licence: MD 22409) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-01-20 |