Weaver, Angela M

Weaver, Angela M is an individual health care provider with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Weaver, Angela M can be contacted via phone (218) 846-7013.

Contact Information

Primary practice address
1245 Washington Ave Detroit Lakes MN 56501-3905
Phone: (218) 846-7013
Fax: (218) 846-7015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102587 Minnesota

Profile Details

NPI number 1982941860
LBN Legal business name Weaver, Angela M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2013
Last updated Apr 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982941860 NPPES
North Dakota MEDICAID 56156

Popular Providers