Individual
LEAH C WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
539 BROOK ST, WESTBROOK, ME 04092-3661
(207) 356-2433
(207) 879-6201
Mailing address
539 BROOK ST, WESTBROOK, ME 04092-3661
(207) 356-2433
(207) 879-6201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2265
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2265
MAINE STATE LICENSING BOARD
ME
Enumeration date
03/29/2018
Last updated
03/29/2018
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