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Individual

ALEXIS WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
20551 E TRINITY PL, BLUE SPRINGS, MO 64015-9501
(816) 988-4545
Mailing address
16785 371 HWY, PLATTE CITY, MO 64079-9779
(816) 499-2620

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2015028981
MO
225X00000X
Occupational Therapist
Primary
2020037745
MO

Other

Enumeration date
10/09/2015
Last updated
01/07/2021
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