IndividualActive
Alice Weaver, PTA
NPI 1508980905 · Physical Therapy Assistant · Canandaigua, NY
Provider details
- NPI number
- 1508980905
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 5020-1 (NY)
Practice location
703 E Maple Ave
Canandaigua, NY 14424
Phone: (585) 394-5070
Fax: (585) 394-9136
Mailing address
703 E Maple Ave
Newark, NY 14513-1845
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.