Individual
MS. SUSAN ANNE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 494-5461
(616) 393-5687
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 494-5461
(616) 393-5687
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
5201003205
MI
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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