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Individual

MRS. BARBARA JEAN WEAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1221 DURSTON RD, BOZEMAN, MT 59715-2725
(406) 582-3300
Mailing address
7540 N 19TH AVE, SUITE 200, PHOENIX, AZ 85021-7967
(602) 324-6500

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1136
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1136
STATE OF MT, DEPARTMENT OF LABOR AND INDUSTRY
MT
01
AA561639
NATIONAL BOARD OF CERTIFICATION ON OCCUPATIONAL THERAPY, INC.
Enumeration date
10/10/2011
Last updated
10/10/2011
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