Provider Demographics
NPI:1619160868
Name:WEAVER, ZAHRA ALIYA (PT)
Entity Type:Individual
Prefix:MS
First Name:ZAHRA
Middle Name:ALIYA
Last Name:WEAVER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3146 N JOG RD
Mailing Address - Street 2:#12303
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7416
Mailing Address - Country:US
Mailing Address - Phone:954-534-6516
Mailing Address - Fax:
Practice Address - Street 1:3146 N JOG RD
Practice Address - Street 2:#12303
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7416
Practice Address - Country:US
Practice Address - Phone:954-534-6516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist