Individual
BARBARA M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 582-8400
(207) 582-8401
Mailing address
10 PROSPECT ST, AUGUSTA, ME 04330-5026
(207) 242-0648
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2147
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432656599
—
ME
Enumeration date
11/05/2009
Last updated
11/05/2009
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