NPI 1023403805

Aubrey Diane Weaver, OTA

Practitioner Occupational Therapy Assistant Moscow, ID

Practice location

Address: 640 N Eisenhower St, Moscow, ID 83843-9588
Phone: (208) 882-6560
Mailing address: 25117 SW Parkway Ave STE. D, Wilsonville, OR 97070-9697

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1023403805
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2015
Record last updated: 30 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.