Provider Demographics
NPI:1891321204
Name:WEBERG, LENICE ALEXIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LENICE
Middle Name:ALEXIE
Last Name:WEBERG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7071 WARNER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5444
Mailing Address - Country:US
Mailing Address - Phone:714-847-3800
Mailing Address - Fax:
Practice Address - Street 1:2888 LONG BEACH BLVD STE 405
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1551
Practice Address - Country:US
Practice Address - Phone:562-595-4489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20972225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand