FENTA R WEAVER

FORT WALTON BEACH, FL
NPI1558070185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  22798)
Enumeration Date2022-11-22
Last Update Date2022-11-22
Business Address
FENTA R WEAVER PTA
1 LBJ SR DR
FORT WALTON BEACH, FL 32547
Phone number: 850-863-2066
Mailing Address
FENTA R WEAVER PTA
1729 COLONIAL CT
FT WALTON BCH, FL 32547-6883
Phone number: 850-319-2497
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