Healthcare Provider Details

I. General information

NPI: 1821920604
Provider Name (Legal Business Name): EMILY WEAVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 N ARIZONA AVE STE 106
CHANDLER AZ
85225-7122
US

IV. Provider business mailing address

3160 N ARIZONA AVE STE 106
CHANDLER AZ
85225-7122
US

V. Phone/Fax

Practice location:
  • Phone: 480-244-7012
  • Fax:
Mailing address:
  • Phone: 480-244-7012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOTH-006546
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: