National Provider Identifier

Alice May Weaver, PTA

Alice May Weaver, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Canandaigua, NY and a listed phone number of (585) 394-5070.

NPI 1508980905Canandaigua, NYPhysical Therapy Assistant

Profile Overview

NPI
1508980905
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
March 19, 2007
Last Updated
July 08, 2007

Practice Location

  • 703 E Maple Ave
  • Canandaigua, NY 14424

Phone: (585) 394-5070

Mailing Address

  • 703 E Maple Ave
  • Newark, NY 14513-1845

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1508980905
Entity Type
Individual
Last Name
Weaver
First Name
Alice
Middle Name
May
Credential
PTA
Mailing Street Address
703 E Maple Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1845
Mailing Country
US
Mailing Phone
(315) 331-1700
Practice Street Address
703 E Maple Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424
Practice Country
US
Practice Phone
(585) 394-5070
Practice Fax
(585) 394-9136
Enumeration Date
March 19, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)