Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 3697 | AZ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3697 | AZ |
N | 225XP0200X | Occupational Therapist - Pediatrics | 3697 | AZ |
NPI | 1336282995 |
---|---|
Provider Name | Ms. Barbara Weiss |
First Address | Phoenix, AZ 85022 |
Second Address | Phoenix, AZ 85008-5107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |