Individual
MRS. TERESIA MICHELLE WEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
41680 MISS BESSIE DR STE 103, LEONARDTOWN, MD 20650-2963
(240) 256-3711
(240) 256-3612
Mailing address
41680 MISS BESSIE DR STE 103, LEONARDTOWN, MD 20650-2963
(240) 256-3711
(240) 256-3612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02625
MD
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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