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Matthew Daniel Weidner, OTR/L

Occupational Therapist in Castle Rock, CO. Individual provider (NPI-1).

NPI number1548045883
StatusActive
Last updated in NPPESAug 25, 2023

Details

NPI
1548045883
Entity type
Individual (NPI-1)
Name
Matthew Daniel Weidner
Credential
OTR/L
Sex
Male
Sole proprietor
No
Enumeration date
Aug 25, 2023
Certification date
Aug 25, 2023
Last updated
Aug 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT.0005632COYes

Practice location

620 Wilcox St
Castle Rock, CO 80104-1739

Phone 303-387-0100

Mailing address

620 Wilcox St
Castle Rock, CO 80104-1739

Phone 303-387-0100

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