Individual
LESLIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
680 BOSTON POST RD, MILFORD, CT 06460-2684
(203) 783-1997
(203) 783-3997
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000716
CT
Other
Enumeration date
12/14/2006
Last updated
05/30/2013
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