Provider Demographics
NPI:1659041937
Name:WESENICK, NATALIE (MOT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:WESENICK
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W INDIANTOWN RD STE 106
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3549
Mailing Address - Country:US
Mailing Address - Phone:561-781-0516
Mailing Address - Fax:
Practice Address - Street 1:250 W INDIANTOWN RD STE 106
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3549
Practice Address - Country:US
Practice Address - Phone:561-781-0516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist