Carmen Weidenbach

NPI #1417255670 in Lees Summit, Missouri

Provider Information

NPI Number: 1417255670
Entity Type: Individual
Name: Carmen Weidenbach
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 11, 2011
Last Updated: Mar 11, 2011

Practice Location

Address: 301 NE TUDOR RD
City: Lees Summit
State: Missouri
ZIP Code: 64086-5702
Phone: (816) 986-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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