Provider Demographics
NPI:1124194667
Name:WEINBERG, VALERIE ADDINGTON (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ADDINGTON
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 FLINT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6328
Mailing Address - Country:US
Mailing Address - Phone:678-296-9786
Mailing Address - Fax:678-455-0987
Practice Address - Street 1:2350 FLINT CREEK DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6328
Practice Address - Country:US
Practice Address - Phone:678-296-9786
Practice Address - Fax:678-455-0987
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA OT#002080225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist