Individual
SARA JUDITH WEIRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6220 LAKEAIRES DR, CUMMING, GA 30040-4292
(540) 207-5163
(678) 807-2567
Mailing address
6220 LAKEAIRES DR, CUMMING, GA 30040-4292
(540) 207-5163
(678) 807-2567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176348B
—
GA
Enumeration date
03/16/2015
Last updated
02/20/2023
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