Individual
MICHELLE WEISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
314 GINGER DR, DOVER, TN 37058-3652
(573) 450-1053
Mailing address
314 GINGER DR, DOVER, TN 37058-3652
(573) 450-1053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3857
TN
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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