Individual
ABBY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
430 E CLEVELAND RD, GRANGER, IN 46530-5624
(574) 271-3305
Mailing address
10584 DUNN RD, OSCEOLA, IN 46561-9703
(260) 479-7070
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001722A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32001722A
OCCUPATIONAL THERAPY ASSISTANT
IN
Enumeration date
04/01/2015
Last updated
04/01/2015
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