Individual
LAURIE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 PIONEER LN, BISHOP, CA 93514-2557
(760) 872-1000
Mailing address
151 PIONEER LN, BISHOP, CA 93514-2557
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT3374
CA
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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