Individual
COURTNEY K. WEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
Mailing address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-819
ID
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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