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Individual

KAREN HILJA WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
16618 W 159TH ST STE 402, LOCKPORT, IL 60441-8011
(815) 838-0529
Mailing address
4701 ONEIDA ST, DULUTH, MN 55804-1538
(218) 730-3201

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104726
MN

Other

Enumeration date
02/09/2019
Last updated
02/09/2019
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