Individual
STACIE LYNN WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
613 CRICKLEWOOD RD, WEST CHESTER, PA 19382-8507
(484) 266-0387
Mailing address
613 CRICKLEWOOD RD, WEST CHESTER, PA 19382-8507
(484) 266-0387
(484) 266-0409
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OC010891
PA
Other
Enumeration date
07/02/2010
Last updated
06/24/2019
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