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General NPI Number Information
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NPI Number | 1477728780
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Entity Type | Individual
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Provider Name | CHRYSANTHI JO WEISBURGER MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 15600 PARKLAND DR
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-2529
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Country | US
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Telephone | 216-295-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 6090 ROYALTON RD # 190
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-5104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.007782
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT009867
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License Number State | OH
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