Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC013204 | PA |
N | 225XH1200X | Occupational Therapist - Hand | OT00004029 | WA |
NPI | 1083798383 |
---|---|
Provider Name | Kimberly A Weir |
First Address | Downingtown, PA 19335-1266 |
Second Address | Plymouth Meeting, PA 19462-1420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 27/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0214773 | DEPARTMENT OF LABOR AND INDUSTRIES (01) | WA |
8466393 | (05) | WA |
CN2416 | RAILROAD MEDICARE (01) | WA |