Stacie Lynn Weidner
Occupational Therapist - Gerontology
613 Cricklewood Rd
West Chester
, Pennsylvania 19382-8507
Stacie Lynn Weidner
Occupational Therapist - Gerontology
613 Cricklewood Rd
West Chester
, Pennsylvania 19382-8507
(484) 266-0409
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Stacie Lynn Weidner
- 613 Cricklewood Rd
- West Chester, PA
- Zip : 19382-8507
- Fax : (484) 266-0409
- Phone : (484) 266-0387
Second Address
- Stacie Lynn Weidner
- 613 Cricklewood Rd
- West Chester, PA
- Zip : 19382-8507
- Phone : (484) 266-0387
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OC010891 | PA |
National Provider Identifier
| NPI | 1154633469 |
|---|---|
| Provider Name | Stacie Lynn Weidner |
| First Address | West Chester, PA 19382-8507 |
| Second Address | West Chester, PA 19382-8507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2010 |
| Last Update Date | 24/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.