MARK L WEAVER

PINEDALE, WY
NPI1801949045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-642)
Enumeration Date2007-01-19
Last Update Date2015-11-17
Business Address
-- MARK L WEAVER PT
317 N. FALER AVE
PINEDALE, WY 82941
Phone number: 307-367-6236
Mailing Address
-- MARK L WEAVER PT
PO BOX 1037
PINEDALE, WY 82941-1037
Phone number: 307-367-6236
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