Individual
ALEXANDRA WEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1303 WINDOVER RUN, HANAHAN, SC 29410-8219
(843) 814-7917
(855) 362-2736
Mailing address
1303 WINDOVER RUN, HANAHAN, SC 29410-8219
(843) 814-7917
(855) 362-2736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5702
SC
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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