Individual
JENNIFER WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5550 PAINTED MIRAGE RD, SUITE 320, LAS VEGAS, NV 89149-4581
(702) 444-0774
Mailing address
7718 PISTA WAY, LAS VEGAS, NV 89179-1823
(978) 302-9529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14-0449
NV
Other
Enumeration date
06/26/2015
Last updated
07/15/2016
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