Individual
MS. CYNDI DIANNE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8951 E 60TH ST, RAYTOWN, MO 64133-3710
(816) 353-8585
(816) 353-5808
Mailing address
304 S CENTRAL ST, OLATHE, KS 66061-3611
(913) 982-7989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017043014
MO
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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