Individual
AMBER WEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
44022 EAGLEBLUFF CT, TEMECULA, CA 92592-9678
(951) 522-6711
Mailing address
44022 EAGLEBLUFF CT, TEMECULA, CA 92592-9678
(951) 522-6711
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 365
CA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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