MS. Staci Dawn Weaver, OTR

NPI #1679234439 in Bryan, Texas

Provider Information

NPI Number: 1679234439
Entity Type: Individual
Name: MS. Staci Dawn Weaver, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 1201 RIDGEDALE ST
City: Bryan
State: Texas
ZIP Code: 77803-3722
Phone: (979) 209-2734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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