| NPI | 1497546774 |
|---|---|
| Former Name | DIANE WEIGANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0015783) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |