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NPI Code Detail

MEDICARE: ZACHARY WEAVER

MEDICARE: ZACHARY WEAVER
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 Therapist13376SC

General Provider Information

NPI Number : 1306776620
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY WEAVER
Provider Business Mailing Address
First Line : 630 HUNTER HILLS DR
Second Line :
City : GREEN
State : OH
Zip : 44216-9686
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4 OKATIE CENTER BLVD S STE 101
Second Line :
City : OKATIE
State : SC
Zip : 29909-7530
Country : US
Telephone Number : 843-705-9480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ ZACHARY WEAVER ” Practice Location

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