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Individual

MRS. KAITLYN R. WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
248 STATE STREET, BREWER, ME 04412
(207) 989-2034
(207) 989-5971
Mailing address
122 JILLIAN WAY, GLENBURN, ME 04401-1243
(207) 990-0162
(207) 990-0163

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2981
ME

Other

Enumeration date
03/16/2016
Last updated
07/03/2019
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