NPI 1104323914

Carl P Weaver, PT

Practitioner Physical Therapist East Lansing, MI

Practice location

Address: 1720 Abbey Rd STE a, East Lansing, MI 48823-6363
Phone: (517) 333-6692
Fax: (517) 333-6705
Mailing address: 600 Oakmont Ln STE 600c, Westmont, IL 60559-5548

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5501003354 (MI)

Other Physical Therapist providers in Michigan →

Registry record

NPI: 1104323914
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2018
Record last updated: 11 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.