Individual
ADAM J WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 738-2000
Mailing address
N1699 MEDINA DR, GREENVILLE, WI 54942-8506
(920) 242-0702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
08/05/2019
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