Individual
MRS. SOPHIA MARIE WEIDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5318
Mailing address
400 N CORONADO ST APT 3051, CHANDLER, AZ 85224-3208
(651) 274-4017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008665
AZ
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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