| NPI | 1295823458 |
|---|---|
| Former Name | LAURIE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 102399) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 01749) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |