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Individual
MRS. BARBARA JEAN WEAS
Active
Individual
MRS. BARBARA JEAN WEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1136
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136
STATE OF MT, DEPARTMENT OF LABOR AND INDUSTRY
MT
01
—
AA561639
NATIONAL BOARD OF CERTIFICATION ON OCCUPATIONAL THERAPY, INC.
—
Enumeration date
10/10/2011
Last updated
10/10/2011
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