Healthcare Provider Details

I. General information

NPI: 1235731480
Provider Name (Legal Business Name): ERIN ELAINE WEINBERG OTD, OTR/L, SWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 FOOTHILL BLVD
LA CANADA FLINTRIDGE CA
91011-3207
US

IV. Provider business mailing address

4801 LA CANADA BLVD
LA CANADA FLINTRIDGE CA
91011-2207
US

V. Phone/Fax

Practice location:
  • Phone: 818-495-5043
  • Fax:
Mailing address:
  • Phone: 626-664-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number21792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: