Individual
TARA JANE WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8014 BETHEL RD, ARPIN, WI 54410-9558
(715) 652-2103
Mailing address
2902 PINE ROAD, WISCONSIN RAPIDS, WI 54495
(715) 213-4966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1938-027
WI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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