Individual
JENNIFER WEILBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5202 SAINT JOE RD, FORT WAYNE, IN 46835-3380
(260) 492-2202
Mailing address
1534 THISTLE LN, FORT WAYNE, IN 46825-2958
(260) 414-1649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001033A
IN
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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