Individual
ANDREA JILL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1206 W CHATHAM ST, CARY, NC 27513-5246
(919) 461-0253
Mailing address
1300 TRIBUTE CENTER DR APT 306, RALEIGH, NC 27612-3250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11260
NC
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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