Individual
MRS. KRISTIN WEIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
722 FURNACE HILLS PIKE, LITITZ, PA 17543-7954
(717) 626-2071
Mailing address
415 WOODHALL DR, WILLOW STREET, PA 17584-9425
(717) 475-9544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006326
PA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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