Individual
AMY MARIE WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
225 WEST MAIN STREET, SHELBY, OH 44875
(419) 342-2440
Mailing address
201 E MC CASKEY, DUNKIRK, OH 45836
(419) 581-6821
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
04769
OH
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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