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Individual

CAROLYN E WEAKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14366 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6838
(804) 601-6010
(804) 601-4774
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(888) 830-4125

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008228
VA

Other

Enumeration date
06/11/2019
Last updated
08/11/2025
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