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NPI Code Detail

MEDICARE: MRS. HEATHER ANNE WEESNER

MEDICARE: MRS. HEATHER ANNE WEESNER
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
1225X00000XOccupational Therapist05379MD

General Provider Information

NPI Number : 1730410382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER ANNE WEESNER
Provider Business Mailing Address
First Line : 10700 CHARTER DR STE 205
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3687
Country : US
Telephone Number : 443-546-1590
Fax Number : 443-546-1576
Provider Business Practice Location Address
First Line : 2200 KERNAN DR
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-6665
Country : US
Telephone Number : 410-448-6323
Fax Number : 410-448-6338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2010
Last Update Date : 06/14/2022

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Directions to “ MRS. HEATHER ANNE WEESNER ” Practice Location

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