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NPI Code Detail

MEDICARE: MARGARET A WEAVER DPT

MEDICARE: MARGARET A WEAVER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2981NE

General Provider Information

NPI Number : 1023304102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET A WEAVER DPT
Provider Business Mailing Address
First Line : 851 S 129TH AVENUE CIR
Second Line :
City : OMAHA
State : NE
Zip : 68154-2987
Country : US
Telephone Number : 408-666-9820
Fax Number :
Provider Business Practice Location Address
First Line : 20650 GLENN ST
Second Line :
City : ELKHORN
State : NE
Zip : 68022-2324
Country : US
Telephone Number : 402-289-2579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2011
Last Update Date : 09/14/2022

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Directions to “ MARGARET A WEAVER DPT” Practice Location

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