| NPI | 1134457831 |
|---|---|
| Former Name | AMANDA ROSE WEIGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: NC 7261) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 13076) |
| 225X00000X Occupational Therapist (Licence: TX 113212) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2021-11-09 |