Individual
AMY WAIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
413 MCCLELLAN ST, BERRYVILLE, VA 22611-1420
(443) 745-5760
Mailing address
59 STEPHANIE WAY, CHARLES TOWN, WV 25414-5986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004575
VA
225X00000X
Occupational Therapist
04900
MD
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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