Individual
JAMES WEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1751 WESTIN CIR, ERIE, CO 80516-3629
(303) 582-0309
Mailing address
1751 WESTIN CIR, ERIE, CO 80516-3629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1511
CO
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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