Individual
JENNIFER WIERZBIC WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
5211 SW 91ST TER, SUITE B, GAINESVILLE, FL 32608-8128
(352) 505-6363
(352) 505-6383
Mailing address
1018 NE 14TH AVE, GAINESVILLE, FL 32601-4563
(352) 872-3614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14173
FL
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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