Individual
KATIE COLLEEN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2010 GARFIELD AVE, SUITE 2, PARKERSBURG, WV 26101-2527
(304) 917-3649
(304) 917-3651
Mailing address
415 36TH ST, SUITE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10692
NC
225X00000X
Occupational Therapist
Primary
1500
WV
225X00000X
Occupational Therapist
OT.008182
OH
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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