MEDICARE: EMILY KATELYN WEBER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT012356	OH

General Provider Information

NPI Number	:	1174227987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KATELYN WEBER OTR/L

Provider Business Mailing Address
First Line	:	2012 LORENA AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-7217
Country	:	US
Telephone Number	:	330-472-4721
Fax Number	:

Provider Business Practice Location Address
First Line	:	2012 LORENA AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-7217
Country	:	US
Telephone Number	:	330-472-4721
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	03/27/2023

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