Individual
SARA MARIE WEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6750
(414) 298-6733
Mailing address
1250 RIVER PLACE BLVD, WAUKESHA, WI 53189-7752
(262) 542-5216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
837-026
WI
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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