SUSAN WEAVER

FORT WAYNE, IN
NPI1306179619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007195A)
Enumeration Date2009-09-18
Last Update Date2009-09-18
Business Address
-- SUSAN WEAVER
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
Mailing Address
-- SUSAN WEAVER
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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