Individual
KARI LEANN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
508 MAPLE AVE, JERSEYVILLE, IL 62052-2220
(618) 535-1072
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3077
TN
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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